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Alaska rates for HCPCS 81465

Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,385.28 / $6,459.34 / $10,974.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,385.28 / $3,135.60 / $3,135.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,585.69 / $2,585.69 / $2,585.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.86 / $1,075.86 / $1,344.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.60 / $561.60 / $1,150.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.00 / $936.00 / $3,013.92
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,276.00 / $3,463.20 / $3,744.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.40 / $2,106.00 / $3,744.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.60 / $561.60 / $1,150.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.20 / $936.00 / $2,574.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.20 / $1,872.00 / $2,824.11