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Oregon 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
$346.74 / $691.83 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $257.04 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $724.44 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $302.00 / $489.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $588.84 / $724.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $575.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $275.42 / $389.05
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $575.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $380.19 / $794.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $302.00 / $407.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $812.83 / $1,096.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $234.42 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $436.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $331.13