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Minnesota rates for HCPCS 81440

Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, OPA1, PDSS2, POLG, POLG2, RRM2B, SCO1, SCO2, SLC25A4, SUCLA2, SUCLG1, TAZ, TK2, and TYMP

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,124.56 / $3,124.56 / $3,124.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,326.80 / $3,091.32 / $3,124.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.36 / $431.05 / $3,324.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,659.20 / $3,324.00 / $3,324.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,228.41 / $12,222.69 / $29,167.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,857.62 / $4,850.67 / $6,451.51
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,626.57 / $11,084.89 / $22,966.64
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,819.42 / $3,819.42 / $6,037.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,324.00 / $6,149.40 / $15,789.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,396.08 / $2,696.40 / $7,624.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,324.00 / $3,988.80 / $3,988.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,396.08 / $3,324.00 / $7,163.22