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Oklahoma 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
$206.12 / $274.83 / $659.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.00 / $203.37 / $392.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.73 / $295.77 / $428.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.08 / $261.08 / $296.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.64 / $178.64 / $734.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.49 / $334.90 / $401.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.37 / $274.83 / $461.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.43 / $115.43 / $412.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.43 / $115.43 / $175.89