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New Jersey 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
$175.00 / $389.16 / $1,510.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.00 / $175.00 / $386.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.64 / $605.54 / $1,259.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.06 / $285.00 / $589.16
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.38 / $288.57 / $398.50
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,702.00 / $13,785.00 / $13,785.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.16 / $151.16 / $275.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.05 / $164.90 / $280.33