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New Mexico 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
$275.42 / $588.84 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $177.83 / $416.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $1,000.00 / $1,659.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $151.36 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $208.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $478.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $239.88 / $549.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $245.47 / $269.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $112.20