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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)

Facilitymedian $347 · 10th–90th $316–$4790%50%10th90th$347Professionalmedian $219 · 10th–90th $174–$3470%10%20%10th90th$219$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $346.74 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $223.87 / $346.74
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $426.58
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $478.63 / $478.63
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $275.42 / $389.05
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $354.81 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $295.12 / $436.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $316.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $165.96 / $309.03