go back

Massachusetts 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
$1,150.00 / $2,563.98 / $2,852.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.40 / $1,150.00 / $1,441.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.57 / $1,628.64 / $4,446.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.07 / $936.00 / $3,514.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,487.64 / $2,127.33 / $3,719.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.12 / $861.12 / $926.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.40 / $669.24 / $1,824.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.00 / $841.95 / $4,176.52
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.77 / $1,350.77 / $1,589.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.00 / $936.00 / $2,864.16
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.64 / $4,446.00 / $4,446.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.20 / $561.60 / $4,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.12 / $561.60 / $1,784.08