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Louisiana 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
$1,364.22 / $1,773.49 / $6,309.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.95 / $1,557.27 / $1,673.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,353.67 / $2,390.46 / $3,414.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $822.13 / $912.56
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $1,287.00 / $1,287.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.72 / $2,468.71 / $9,090.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.39 / $1,332.93 / $2,496.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.54 / $733.72 / $1,930.50