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Ohio 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
$163.00 / $472.70 / $1,530.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.00 / $219.86 / $412.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.67 / $296.82 / $486.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.93 / $137.41 / $439.86
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.14 / $173.14 / $173.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.83 / $316.05 / $412.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.83 / $357.28 / $601.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.79 / $346.56 / $1,771.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.81 / $176.34 / $598.46
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.79 / $346.56 / $1,771.54
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.81 / $176.34 / $598.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.42 / $247.34 / $340.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.43 / $164.90 / $443.30