go back

Illinois 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
$275.42 / $478.63 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $234.42 / $489.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $954.99 / $3,467.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $190.55 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $575.44 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $331.13 / $467.74
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $426.58 / $831.76
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $165.96 / $275.42