go back

Maryland 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
Professional
Modifier
Low / Median / High Price
$849.42 / $965.25 / $1,065.64
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.59 / $1,158.30 / $1,320.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $845.90 / $1,665.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.11 / $914.96 / $3,162.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.00 / $1,544.40 / $1,930.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.54 / $579.15 / $1,029.01
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.93 / $514.79 / $643.50