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Kentucky rates for HCPCS 0137U

PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) mRNA sequence analysis (List separately in addition to code for primary procedure)

Facilitymedian $398 · 10th–90th $229–$5,7540%20%10th90th$398Professionalmedian $224 · 10th–90th $170–$3390%20%10th90th$224$100.0$500.0$2.0K$10.0K$50.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $281.84 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $223.87 / $275.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $338.84 / $457.09
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $4,168.69 / $41,686.94
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $398.11 / $5,248.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $457.09 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $1,348.96 / $1,348.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $338.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $169.82 / $281.84