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Arkansas 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
$346.29 / $346.29 / $478.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.00 / $266.58 / $346.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.31 / $313.31 / $313.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.05 / $480.95 / $480.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.83 / $274.83 / $329.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.64 / $178.64 / $274.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.65 / $255.64 / $422.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.34 / $275.75 / $413.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.43 / $164.90 / $274.83