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North Dakota 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
$190.55 / $257.04 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $208.93 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $398.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $208.93 / $489.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $323.59 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $281.84 / $467.74