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Virginia 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
$127.78 / $330.73 / $463.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.75 / $123.27 / $133.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.33 / $150.33 / $738.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.13 / $60.13 / $97.71
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.36 / $322.45 / $1,331.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.71 / $280.02 / $681.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.09 / $91.33 / $248.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.33 / $180.40 / $222.49
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.78 / $195.43 / $356.72
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $210.00 / $360.79
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.19 / $178.49 / $9,929.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.19 / $178.49 / $9,929.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.14 / $78.17 / $172.88