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Pennsylvania rates for HCPCS 81407

Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on one platform)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.48 / $1,417.08 / $3,539.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.55 / $719.33 / $5,441.52
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,922.93 / $3,894.96 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.09 / $660.09 / $660.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.12 / $1,249.92 / $2,807.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.68 / $903.70 / $1,913.66
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.53 / $1,142.46 / $2,005.39
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.20 / $478.31 / $1,704.30
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.33 / $2,301.17 / $3,495.10
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.70 / $1,000.00 / $3,495.10
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,252.48 / $1,269.40 / $1,692.54
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$823.63 / $1,407.93 / $2,807.78
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.83 / $905.74 / $1,913.66
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$846.27 / $846.27 / $1,465.40
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.27 / $846.27 / $1,465.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.43 / $507.76 / $1,269.41