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Vermont 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
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $966.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.56 / $756.56 / $968.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.60 / $251.60 / $251.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.13 / $338.13 / $338.13
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.60 / $251.60 / $251.60
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.71 / $97.71 / $338.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.66 / $150.33 / $676.49