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Kentucky 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
$223.87 / $380.19 / $660.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $223.87 / $389.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $275.42 / $288.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $288.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $389.05 / $457.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $354.81 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $831.76 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $1,318.26 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $165.96 / $275.42