go back

Kentucky 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
$100.00 / $146.31 / $823.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $151.86 / $312.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $166.68 / $194.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.67 / $74.08 / $200.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.72 / $259.27 / $305.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.20 / $240.76 / $311.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.38 / $144.10 / $516.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.58 / $195.94 / $892.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.19 / $111.12 / $185.20