go back

Wisconsin rates for HCPCS 81465

Whole Mitochondrial Genome Analysis Panel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.20 / $1,404.00 / $2,087.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.80 / $879.84 / $1,123.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,012.40 / $2,433.60 / $2,574.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.40 / $645.84 / $4,009.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.34 / $2,287.48 / $2,377.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,576.30 / $3,010.61 / $4,618.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.86 / $2,520.46 / $2,864.16
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.60 / $936.00 / $1,840.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.60 / $1,123.20 / $4,446.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.00 / $748.80 / $2,592.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $85.00 / $2,583.36
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.60 / $936.00 / $1,840.22
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,562.76 / $2,232.14 / $3,130.73
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.08 / $1,872.00 / $4,446.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.08 / $4,680.00 / $4,680.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,993.25 / $1,993.25 / $1,993.25
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,720.22 / $5,110.56 / $5,110.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.00 / $561.60 / $1,965.60