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Maine 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 / $275.42 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $208.93 / $275.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $1,698.24 / $1,819.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $177.83 / $239.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $275.42 / $275.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $331.13
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $1,230.27
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $263.03 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $275.42 / $426.58