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Mitochondrial DNA Large Deletion Test

Louisiana 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 $1,259 · 10th–90th $933$3,3110%10%20%10th90th$1,259Professionalmedian $1,047 · 10th–90th $562$1,9050%20%10th90th$1,047$10.0$50.0$200.0$1.0K$5.0K

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
$1,000.00
Median
$1,258.93
Typical High
$3,388.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,122.02
Typical High
$3,388.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,737.80
Typical High
$2,511.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,148.15
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$2,041.74
Typical High
$7,079.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$724.44
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$851.14
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$467.74
Typical High
$1,258.93