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Connecticut 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
$261.08 / $354.53 / $809.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.00 / $175.00 / $800.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.95 / $282.99 / $609.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.16 / $332.70 / $438.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.62 / $368.34 / $1,122.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.34 / $341.14 / $618.74
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.27 / $361.50 / $464.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.42 / $164.90 / $482.30