go back

New Jersey 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
$936.00 / $1,170.00 / $5,824.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.08 / $1,150.00 / $1,150.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.04 / $2,063.44 / $4,289.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.55 / $970.63 / $1,357.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.56 / $561.60 / $1,246.75
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,702.00 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.80 / $748.80 / $748.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.39 / $561.60 / $954.72