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Alabama rates for HCPCS 81460

Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes [MELAS], myoclonic epilepsy with ragged-red fibers [MERFF], neuropathy, ataxia, and retinitis pigmentosa [NARP], Leber hereditary optic neuropathy [LHON]), genomic sequence, must include sequence analysis of entire mitochondrial genome with heteroplasmy detection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,287.00 / $1,480.05 / $2,574.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.95 / $1,480.05 / $1,480.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.89 / $652.76 / $878.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.92 / $400.39 / $573.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$819.82 / $1,045.69 / $3,138.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.41 / $752.90 / $1,848.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.54 / $707.85 / $1,287.00