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New Jersey 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
$850.00 / $1,583.01 / $7,361.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.86 / $1,580.00 / $1,580.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.32 / $2,836.44 / $5,897.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.90 / $1,334.71 / $1,866.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.02 / $772.20 / $1,714.28
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,287.00 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.23 / $250.00 / $1,029.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.09 / $772.20 / $1,389.96