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South Carolina 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
$660.69 / $1,318.26 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $758.58 / $1,148.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,096.48 / $5,754.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,000.00 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $2,398.83 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $549.54 / $2,137.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $891.25 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $933.25 / $1,122.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $562.34 / $933.25