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Hawaii 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
$226.73 / $256.97 / $329.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.53 / $10.53 / $10.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.80 / $329.80 / $329.80
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.00 / $310.56 / $343.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.31 / $329.80 / $384.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.83 / $329.80 / $412.25
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.38 / $343.54 / $494.69