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Connecticut 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
$1,222.65 / $1,660.23 / $3,861.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,580.00 / $1,580.00 / $1,580.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,287.00 / $3,776.48 / $7,386.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.15 / $778.63 / $5,182.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.90 / $1,665.46 / $4,695.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.48 / $1,490.22 / $2,632.39
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.02 / $1,274.13 / $1,737.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.54 / $824.71 / $2,258.56