go back

Missouri 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
$63.10 / $436.52 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $234.42 / $501.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $954.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $218.78 / $489.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $407.38 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $275.42 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $524.81 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $263.03 / $398.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $331.13 / $1,318.26
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 / $302.00