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Vermont 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
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $1,190.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.25 / $681.25 / $681.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.98 / $309.98 / $717.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.98 / $415.98 / $415.98
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.98 / $309.98 / $717.40
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.38 / $120.38 / $415.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.90 / $185.20 / $833.40