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Colorado 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
$978.12 / $2,709.39 / $4,736.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.25 / $1,042.47 / $1,544.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,360.36 / $3,706.56 / $5,894.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.54 / $540.54 / $1,287.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.90 / $1,129.33 / $3,312.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.24 / $945.97 / $1,866.15
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$978.12 / $1,287.00 / $1,801.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.25 / $1,801.80 / $3,088.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.54 / $540.54 / $952.38