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Mitochondrial DNA Large Deletion Test

Wisconsin rates for HCPCS 81465

A laboratory test that examines the DNA inside mitochondria, the structures that generate energy inside cells, looking for large missing sections. It also reports what proportion of a person's mitochondria carry the change, since this varies from cell to cell and from tissue to tissue.

Rates data updated July 2026.

Facilitymedian $1,862 · 10th–90th $562$4,3650%20%10th90th$1,862Professionalmedian $1,072 · 10th–90th $372$3,1620%10%20%10th90th$1,072$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$2,570.40
Typical High
$2,570.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,122.02
Typical High
$1,412.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,511.89
Typical High
$2,570.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$3,715.35
CareSource
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,754.23
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$1,380.38
Typical High
$2,951.21
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,862.09
Typical High
$5,248.07
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$6,165.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,122.02
Typical High
$3,311.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$562.34
Typical High
$2,570.40
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$794.33
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,122.02
Typical High
$2,691.53
Network Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,513.56
Typical High
$2,187.76
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$933.25
Typical High
$2,818.38
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,187.76
Typical High
$3,090.30
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$4,466.84
Quartz
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$4,677.35
Typical High
$4,677.35
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Security Health
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$5,128.61
Typical High
$6,606.93
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$741.31
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$562.34
Typical High
$1,548.82