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New Jersey 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
$100.00 / $229.09 / $1,059.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $144.46 / $312.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.03 / $408.50 / $848.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.17 / $192.23 / $397.46
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.63 / $194.46 / $268.54
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,702.00 / $13,785.00 / $13,785.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.78 / $111.12 / $188.90