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Alaska rates for HCPCS 0158U

MLH1 (mutL homolog 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $2,187.76 / $3,467.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $275.42 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $1,348.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $912.01
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $1,047.13 / $1,122.02
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $776.25 / $1,348.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $562.34 / $851.14