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Kansas 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
$1,343.63 / $2,659.46 / $4,109.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.20 / $1,119.69 / $1,377.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,608.75 / $1,608.75 / $1,608.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.90 / $1,355.21 / $2,918.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,228.95 / $1,848.69 / $1,878.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.20 / $1,029.59 / $2,239.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.54 / $772.20 / $2,625.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.54 / $772.20 / $1,930.50