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Colorado rates for HCPCS 81403

Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or duplication/deletion variants of 2-5 exons)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.75 / $374.40 / $681.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $140.75 / $277.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.72 / $516.71 / $851.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.78 / $77.78 / $185.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.93 / $123.99 / $565.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.06 / $140.16 / $321.87
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.75 / $185.20 / $259.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.16 / $262.98 / $683.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.68 / $166.68 / $166.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.78 / $77.78 / $111.12