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Mitochondrial DNA Large Deletion Test

Michigan 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 $891 · 10th–90th $891$1,6220%50%90th$891Professionalmedian $891 · 10th–90th $589$1,1480%20%40%10th90th$891$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
$891.25
Median
$891.25
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$891.25
Typical High
$1,148.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$891.25
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$933.25
Typical High
$1,348.96
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$933.25
Typical High
$2,187.76
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$933.25
Typical High
$1,258.93
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,071.52
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$933.25
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$562.34
Typical High
$933.25