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Missouri 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
$795.60 / $1,258.29 / $2,171.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.60 / $814.32 / $907.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.00 / $982.80 / $4,320.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.40 / $718.84 / $1,724.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.39 / $1,761.93 / $2,281.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.64 / $950.18 / $1,344.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.60 / $1,170.00 / $4,446.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.12 / $561.60 / $2,317.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.12 / $561.60 / $1,123.20