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West 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
$231.50 / $270.00 / $270.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.05 / $151.86 / $167.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.20 / $250.02 / $305.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.20 / $250.02 / $250.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.47 / $458.77 / $555.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.66 / $892.66 / $892.66
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.32 / $752.32 / $752.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.78 / $92.60 / $268.54