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Mitochondrial DNA Large Deletion Test

Hawaii rates for HCPCS 81465

A laboratory test that examines the DNA inside mitochondria, the structures that generate energy inside cells, looking for large missing sections. It also reports what proportion of a person's mitochondria carry the change, since this varies from cell to cell and from tissue to tissue.

Rates data updated July 2026.

Facilitymedian $933 · 10th–90th $776$1,1220%10%20%10th90th$933Professionalmedian $1,175 · 10th–90th $933$1,6220%20%10th90th$1,175$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$933.25
Typical High
$1,122.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
HMSA
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,047.13
Typical High
$1,174.90
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,122.02
Typical High
$1,412.54
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$933.25
Typical High
$1,122.02
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,380.38
Typical High
$2,089.30