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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
$233.61 / $369.46 / $637.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.00 / $236.35 / $386.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.83 / $288.57 / $1,268.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.93 / $244.59 / $490.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.42 / $576.47 / $834.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.12 / $261.63 / $355.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.10 / $329.80 / $1,305.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.43 / $164.90 / $1,374.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.43 / $164.90 / $310.83