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Kansas 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
$198.16 / $370.40 / $691.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.90 / $161.12 / $254.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.12 / $296.75 / $1,032.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.63 / $225.63 / $266.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.60 / $348.62 / $516.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.94 / $176.94 / $269.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.16 / $185.20 / $267.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.78 / $111.12 / $926.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.30 / $509.30 / $509.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.78 / $111.12 / $277.80