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Arizona 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
$852.88 / $1,872.00 / $3,734.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.12 / $702.00 / $6,018.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.16 / $2,333.37 / $3,880.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.33 / $893.32 / $1,272.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.19 / $1,521.00 / $2,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.40 / $547.55 / $1,344.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.60 / $795.60 / $4,446.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.12 / $393.12 / $936.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.12 / $393.12 / $561.60