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Tennessee rates for HCPCS 81402

Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants [typically using non-sequencing target variant analysis], immunoglobulin and T-cell receptor gene rearrangements, duplication/deletion variants of 1 exon, loss of heterozygosity [LOH], uniparental disomy [UPD])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $123.03 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $120.23 / $199.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $151.36 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $309.03 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $97.72 / $204.17
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,122.02 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $151.36 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $91.20 / $151.36