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Kansas 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
$288.40 / $501.19 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $223.87 / $457.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $616.60 / $645.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $501.19 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $263.03 / $524.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $275.42 / $398.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $165.96 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $275.42 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $165.96 / $354.81