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Arkansas 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
$1,179.35 / $1,179.35 / $1,628.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.60 / $1,179.35 / $1,179.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.72 / $1,404.00 / $1,404.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.40 / $1,207.58 / $1,754.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.05 / $1,075.86 / $1,407.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.40 / $842.40 / $842.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.12 / $561.60 / $936.00