go back

Nebraska 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
$849.42 / $849.42 / $1,287.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.42 / $849.42 / $8,275.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.01 / $1,538.88 / $2,976.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.58 / $1,992.92 / $2,110.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,478.95 / $2,337.67 / $3,294.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.20 / $1,932.41 / $6,113.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.20 / $772.20 / $3,719.43
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,545.67 / $2,450.10 / $5,051.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,544.40 / $2,359.84 / $3,359.07
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,505.79 / $2,187.90 / $2,625.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.59 / $772.20 / $2,509.65