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Missouri 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
$161.12 / $248.96 / $706.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $179.64 / $312.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.20 / $194.46 / $854.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.08 / $164.83 / $330.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.15 / $388.47 / $504.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.41 / $176.47 / $239.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.12 / $222.24 / $879.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.78 / $111.12 / $926.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.78 / $111.12 / $240.02