go back

Maryland 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
$224.41 / $376.25 / $524.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.05 / $189.83 / $400.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.16 / $148.16 / $189.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.16 / $131.69 / $535.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.20 / $222.24 / $277.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.78 / $92.60 / $166.68
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.60 / $92.60 / $92.60