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Rhode Island 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
$1,580.27 / $1,580.27 / $1,580.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.00 / $175.00 / $225.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.83 / $323.69 / $351.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.12 / $206.12 / $496.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.42 / $526.42 / $925.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.34 / $364.92 / $743.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.43 / $164.90 / $396.39