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Wisconsin rates for HCPCS 81440

Nuclear Mitochondrial 100 Gene Genomic Seq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,988.80 / $4,986.00 / $7,412.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,659.20 / $3,124.56 / $3,988.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,146.60 / $8,642.40 / $9,141.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,329.60 / $2,293.56 / $14,237.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,501.31 / $8,123.55 / $8,442.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,147.27 / $10,689.31 / $16,397.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,819.42 / $8,950.87 / $10,171.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,994.40 / $2,991.60 / $6,535.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,994.40 / $3,124.56 / $15,789.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,662.00 / $2,659.20 / $9,207.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $85.00 / $3,324.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,994.40 / $2,991.60 / $6,535.12
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,549.04 / $7,925.88 / $11,116.58
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,648.00 / $6,648.00 / $15,789.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,761.72 / $16,620.00 / $16,620.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,078.60 / $7,078.60 / $7,078.60
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,660.26 / $18,149.04 / $18,149.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,988.80 / $3,988.80 / $3,988.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,662.00 / $2,128.36 / $6,187.29