go back

Alabama rates for HCPCS 81404

Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation disorder/triplet repeat by Southern blot analysis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.83 / $316.05 / $549.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.37 / $316.05 / $316.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.15 / $191.92 / $258.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.66 / $228.75 / $269.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.64 / $223.30 / $861.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.97 / $122.23 / $289.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.43 / $115.43 / $274.83