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Virginia 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
$157.41 / $497.48 / $977.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.90 / $157.41 / $400.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.20 / $185.20 / $910.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.08 / $74.08 / $120.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.16 / $288.91 / $758.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.38 / $345.00 / $840.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.32 / $112.52 / $305.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.20 / $222.24 / $274.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.41 / $240.76 / $348.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.00 / $259.00 / $444.48
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.05 / $219.89 / $9,929.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.05 / $219.89 / $9,929.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.78 / $96.30 / $212.98