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Iowa 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
$1,009.01 / $1,820.90 / $2,547.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.72 / $720.72 / $907.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.86 / $1,700.54 / $2,125.67
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.60 / $1,221.35 / $1,638.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.72 / $1,207.84 / $3,674.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.60 / $936.00 / $3,020.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.11 / $1,716.25 / $2,396.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.20 / $1,716.25 / $2,386.80
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.00 / $936.00 / $1,670.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.60 / $561.60 / $2,367.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.44 / $936.00 / $936.00