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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)

Facilitymedian $302 · 10th–90th $170$9770%20%10th90th$302Professionalmedian $151 · 10th–90th $74$3980%10%10th90th$151$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $457.09 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $169.82 / $398.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $794.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $131.83
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $371.54 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $380.19 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $114.82 / $309.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $204.17 / $257.04
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $245.47 / $346.74
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $346.74 / $389.05
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $245.47 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $245.47 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $186.21 / $223.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $95.50 / $204.17