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Indiana 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 / $185.20 / $648.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.31 / $157.41 / $317.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.31 / $165.75 / $555.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.08 / $74.08 / $100.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.20 / $222.24 / $259.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.20 / $203.72 / $262.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.38 / $185.20 / $430.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.79 / $166.75 / $269.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.78 / $111.12 / $203.53