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Tennessee 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
$702.00 / $1,298.70 / $3,350.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.44 / $730.08 / $833.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.72 / $936.00 / $1,778.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.40 / $2,016.57 / $2,934.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.64 / $552.26 / $1,594.47
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.64 / $4,446.00 / $4,446.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,680.00 / $4,680.00 / $7,020.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.12 / $561.60 / $936.00