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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)

Facilitymedian $240 · 10th–90th $162–$5750%10%20%10th90th$240Professionalmedian $158 · 10th–90th $78–$3090%10%10th90th$158$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $239.88 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $158.49 / $309.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $645.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $151.36 / $323.59
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $275.42 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $186.21 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $363.08 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $144.54 / $269.15
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $223.87 / $870.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $112.20 / $933.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $186.21 / $223.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $112.20 / $251.19