go back

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
$213.80 / $954.99 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $223.87 / $489.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,819.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $295.12 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $691.83 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $128.82 / $288.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $245.47 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $275.42 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $165.96 / $275.42