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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
$204.17 / $275.42 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $257.04 / $489.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $331.13 / $426.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $331.13 / $398.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $281.84 / $478.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $275.42 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $181.97