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Arkansas 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
$1,621.62 / $1,621.62 / $2,239.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.95 / $1,621.62 / $1,621.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.74 / $1,930.50 / $1,930.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$836.55 / $1,660.32 / $2,412.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.88 / $1,478.95 / $1,934.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.54 / $772.20 / $1,287.00