go back

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
$229.09 / $269.15 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $213.80 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $323.59 / $346.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $331.13 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $275.42 / $416.87
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $371.54 / $489.78