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North Carolina 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
$589.67 / $748.80 / $1,508.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.60 / $748.80 / $795.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,585.62 / $2,267.26 / $2,557.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.20 / $795.60 / $1,684.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.22 / $1,737.40 / $2,457.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.23 / $694.96 / $1,363.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.60 / $887.33 / $1,123.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.36 / $936.00 / $936.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.40 / $936.00 / $1,792.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.00 / $486.72 / $936.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,497.60 / $4,446.00 / $4,446.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,680.00 / $4,680.00 / $7,020.00