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Washington, DC 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
$965.25 / $2,249.03 / $7,876.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.25 / $965.25 / $1,003.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.59 / $1,158.30 / $1,158.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,091.38 / $2,175.03 / $4,678.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.20 / $1,848.69 / $10,028.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.05 / $2,616.08 / $2,616.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.54 / $772.20 / $2,046.33