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Idaho 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
$375.27 / $429.75 / $480.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $254.33 / $361.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.46 / $385.22 / $722.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.12 / $162.49 / $306.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.84 / $361.14 / $397.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.20 / $185.20 / $222.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.68 / $166.68 / $361.14
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.80 / $370.40 / $666.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.27 / $325.54 / $325.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.78 / $77.78 / $185.20