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Rhode Island 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
$478.38 / $862.02 / $1,064.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $151.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.20 / $218.13 / $237.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.90 / $138.90 / $382.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.10 / $318.10 / $559.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.16 / $245.68 / $500.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.78 / $111.12 / $267.11