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Nebraska 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
$122.23 / $648.17 / $764.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.23 / $122.23 / $1,190.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.80 / $444.30 / $859.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.43 / $294.47 / $303.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.00 / $339.58 / $474.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.12 / $280.42 / $879.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.12 / $111.12 / $535.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.24 / $352.57 / $474.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.24 / $339.58 / $474.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.68 / $314.83 / $377.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.56 / $111.12 / $361.14