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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)

Facilitymedian $372 · 10th–90th $191–$9330%20%10th90th$372Professionalmedian $234 · 10th–90th $138–$4900%10%20%10th90th$234$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$190.55 / $575.44 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $239.88 / $489.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $316.23 / $389.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $109.65 / $549.54
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $389.05 / $588.84
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $354.81 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $446.68 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $281.84 / $891.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $354.81 / $2,137.96
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $338.84 / $588.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $245.47 / $275.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $165.96 / $380.19