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Mitochondrial DNA Large Deletion Test

Maine 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 $933$4,1690%50%90th$933Professionalmedian $933 · 10th–90th $562$1,1220%50%10th90th$933$500.0$2.0K$10.0K$50.0K

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
$933.25
Median
$933.25
Typical High
$4,168.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$758.58
Typical High
$1,047.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,096.48
Typical High
$3,235.94
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$478.63
Typical High
$2,570.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$954.99
Typical High
$1,174.90
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$1,122.02
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$4,168.69
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$933.25
Typical High
$1,047.13
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$933.25
Typical High
$1,445.44