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Florida 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
$926.64 / $1,570.14 / $3,835.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.90 / $1,042.47 / $1,580.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.24 / $988.74 / $4,839.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.50 / $1,298.72 / $2,185.06
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.20 / $1,003.86 / $1,608.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.20 / $849.42 / $1,158.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.45 / $540.54 / $1,732.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.67 / $772.20 / $772.20