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Georgia 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
$182.76 / $577.14 / $871.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.09 / $248.04 / $412.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.98 / $303.69 / $950.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.25 / $109.93 / $539.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.83 / $384.76 / $590.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.83 / $329.80 / $357.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.65 / $446.60 / $762.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.39 / $419.91 / $1,546.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.35 / $357.28 / $2,143.14
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.54 / $384.76 / $508.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.43 / $164.90 / $481.09