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Wyoming 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
$185.20 / $185.20 / $778.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.45 / $312.45 / $800.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.50 / $287.00 / $593.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.56 / $370.56 / $370.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.45 / $301.45 / $398.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.78 / $77.78 / $185.20