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North Dakota 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
$129.63 / $129.63 / $333.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $185.20 / $800.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.11 / $213.11 / $312.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $140.75 / $360.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.45 / $222.24 / $370.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.78 / $188.90 / $314.83