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Minnesota 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
$258.33 / $258.33 / $1,393.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.78 / $258.33 / $392.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.53 / $274.83 / $431.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.86 / $274.83 / $274.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.44 / $1,002.13 / $2,410.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.10 / $401.25 / $534.66
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.70 / $916.19 / $1,898.24
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.95 / $315.95 / $499.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.25 / $480.95 / $750.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.16 / $219.86 / $724.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.41 / $219.86 / $630.42