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Idaho 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
$496.01 / $496.01 / $714.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.00 / $412.24 / $535.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.37 / $571.65 / $1,071.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.97 / $241.14 / $455.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.68 / $535.91 / $589.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.83 / $274.83 / $329.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.25 / $247.35 / $535.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.25 / $549.66 / $989.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.82 / $483.62 / $483.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.43 / $115.43 / $439.73