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Rhode Island 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
$5,382.00 / $5,382.00 / $5,382.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.52 / $1,150.00 / $1,150.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.00 / $1,102.42 / $1,198.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.00 / $702.00 / $702.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,484.28 / $2,484.28 / $2,484.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.55 / $1,075.86 / $1,344.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.12 / $561.60 / $1,349.99