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Virginia 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
$1,093.95 / $2,442.73 / $3,963.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.25 / $1,055.33 / $1,093.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,287.00 / $1,287.00 / $6,267.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.79 / $514.79 / $786.35
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.59 / $1,158.30 / $2,258.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.90 / $2,404.85 / $6,592.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.94 / $781.23 / $2,124.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.00 / $1,544.40 / $1,904.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.20 / $1,093.95 / $1,750.32
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,266.00 / $1,351.35 / $3,088.80
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.90 / $1,546.97 / $5,492.14
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.90 / $1,557.78 / $5,492.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.54 / $643.50 / $1,287.00