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Wyoming 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
$274.83 / $274.83 / $1,382.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.80 / $329.80 / $400.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.54 / $426.00 / $879.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.91 / $549.91 / $549.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.85 / $446.85 / $591.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.43 / $164.90 / $203.37