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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
$181.39 / $181.39 / $274.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.39 / $181.39 / $1,767.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.80 / $444.30 / $859.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.85 / $436.98 / $450.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.00 / $447.00 / $447.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.00 / $503.91 / $703.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.90 / $412.43 / $1,305.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.90 / $164.90 / $794.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.80 / $523.20 / $703.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.80 / $503.91 / $703.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.55 / $467.21 / $560.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.65 / $164.90 / $535.91