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Illinois 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
$151.86 / $300.02 / $508.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.60 / $175.94 / $370.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.02 / $784.30 / $2,449.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $127.79 / $142.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.25 / $411.66 / $853.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.80 / $225.89 / $312.85
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.66 / $296.32 / $700.84
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.76 / $240.76 / $240.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.25 / $251.87 / $277.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.78 / $111.12 / $185.20