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Minnesota 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
$174.09 / $174.09 / $279.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.60 / $189.83 / $800.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.50 / $202.53 / $431.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.16 / $185.20 / $185.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.04 / $676.05 / $1,626.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.24 / $270.64 / $360.64
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.48 / $618.07 / $1,280.58
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.11 / $213.11 / $336.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $324.10 / $525.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.45 / $148.16 / $488.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.60 / $117.97 / $394.41