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Ohio 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
$1,029.59 / $2,213.64 / $3,963.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.59 / $1,029.59 / $1,857.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,136.42 / $1,415.70 / $2,277.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.79 / $514.79 / $1,405.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$968.47 / $1,351.35 / $1,930.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.95 / $1,673.10 / $3,088.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$836.55 / $1,325.10 / $4,391.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.78 / $836.55 / $2,493.42
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$836.55 / $1,325.10 / $4,976.99
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.78 / $752.90 / $2,800.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.25 / $1,110.03 / $1,544.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.54 / $772.20 / $1,685.97