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
$275.42 / $316.23 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $239.88 / $457.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $194.98 / $263.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $186.21 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $223.87 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $123.03 / $177.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $245.47 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $165.96