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New Mexico 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
$1,412.54 / $3,019.95 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $912.01 / $6,165.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $5,011.87 / $8,317.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $575.44 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,071.52 / $1,348.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,445.44 / $1,995.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,122.02 / $2,754.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,023.29 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $562.34