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Minnesota 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
$1,209.78 / $1,209.78 / $1,209.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.20 / $1,029.59 / $1,209.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.36 / $453.74 / $1,287.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.59 / $1,287.00 / $1,287.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,798.51 / $4,732.06 / $11,292.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,493.74 / $1,878.27 / $2,498.15
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,565.50 / $4,291.56 / $8,891.62
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,478.95 / $1,478.95 / $2,337.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,287.00 / $2,380.94 / $6,113.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.54 / $1,158.30 / $2,952.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.54 / $1,158.30 / $2,740.87