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Mitochondrial DNA Large Deletion Test

North Dakota 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 $708 · 10th–90th $661$1,6980%20%40%10th90th$708Professionalmedian $1,585 · 10th–90th $661$2,1380%10%10th90th$1,585$500.0$1.0K$2.0K$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
$660.69
Median
$660.69
Typical High
$1,698.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$2,818.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,778.28
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,380.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$724.44
Typical High
$1,698.24
Medica
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$933.25
Typical High
$1,862.09
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$933.25
Typical High
$1,348.96