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Missouri 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
$1,093.95 / $1,730.14 / $2,985.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.95 / $1,119.69 / $1,248.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,287.00 / $1,351.35 / $5,940.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.79 / $944.65 / $2,371.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,320.58 / $2,422.65 / $3,137.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.28 / $1,306.35 / $1,848.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.20 / $1,608.75 / $6,113.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.54 / $772.20 / $3,186.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.54 / $772.20 / $1,455.60