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Colorado 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 / $578.57 / $1,011.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.00 / $208.87 / $412.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.44 / $766.78 / $1,264.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.42 / $115.42 / $274.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.19 / $184.00 / $839.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.84 / $202.00 / $478.10
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.87 / $274.83 / $384.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.86 / $390.26 / $753.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.43 / $115.43 / $164.90