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Florida 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
$173.78 / $338.84 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $218.78 / $467.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $239.88 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $208.93 / $467.74
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $213.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $173.78 / $288.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $245.47 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $114.82 / $416.87