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Delaware 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
$97.47 / $192.60 / $786.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.08 / $124.08 / $153.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.38 / $120.38 / $120.38
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.59 / $896.59 / $896.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.78 / $111.12 / $407.44