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North Dakota 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
$900.90 / $900.90 / $2,316.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.90 / $900.90 / $1,209.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,171.81 / $2,593.31 / $2,910.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,478.95 / $1,493.74 / $1,878.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.29 / $1,003.86 / $2,702.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.54 / $1,528.38 / $2,574.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.54 / $1,528.38 / $1,801.80