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Kansas 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
$977.18 / $1,934.15 / $2,988.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.60 / $814.32 / $1,001.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.00 / $1,170.00 / $1,170.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.19 / $985.61 / $2,122.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.72 / $1,344.83 / $1,366.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.60 / $748.80 / $1,628.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.12 / $561.60 / $1,909.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.12 / $561.60 / $1,591.20