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Oklahoma 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
$965.25 / $1,287.00 / $3,088.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.20 / $952.38 / $965.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.85 / $268.14 / $358.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.65 / $1,222.65 / $1,287.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$836.55 / $845.90 / $1,665.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.39 / $1,478.95 / $1,866.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.20 / $1,013.51 / $6,113.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.54 / $540.54 / $1,608.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.54 / $540.54 / $823.68