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South Carolina 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
$214.37 / $1,497.52 / $1,946.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.00 / $214.37 / $392.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.97 / $1,691.97 / $1,808.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.00 / $274.83 / $379.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.48 / $677.05 / $1,567.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.77 / $174.68 / $324.39
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.37 / $274.83 / $398.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.16 / $151.16 / $151.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.43 / $156.76 / $250.26