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Mitochondrial DNA Large Deletion Test

New Jersey 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 $2,089 · 10th–90th $912$9,5500%10%10th90th$2,089Professionalmedian $794 · 10th–90th $562$1,1480%20%10th90th$794$100.0$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
$1,202.26
Median
$3,019.95
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$933.25
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$2,041.74
Typical High
$4,265.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$1,000.00
Typical High
$1,380.38
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$549.54
Typical High
$1,348.96
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$10,471.29
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$741.31
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$933.25
Typical High
$1,905.46
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$562.34
Typical High
$933.25