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West Virginia 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
$270.00 / $1,530.00 / $3,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.12 / $225.36 / $233.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.83 / $371.02 / $453.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.83 / $371.02 / $371.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.30 / $680.19 / $827.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,324.68 / $1,324.68 / $1,324.68
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,279.75 / $2,279.75 / $2,279.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.43 / $137.41 / $439.73