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Nebraska 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
$407.38 / $645.65 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $208.93 / $1,819.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $446.68 / $954.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $426.58 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $524.81 / $660.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $416.87 / $1,318.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $165.96 / $794.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $707.95 / $707.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $263.03 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $165.96 / $275.42