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Nationwide rates for HCPCS 81161

DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed

Facilitymedian $427 · 10th–90th $224$1,2020%10%10th90th$427Professionalmedian $234 · 10th–90th $112$8320%20%10th90th$234$0.5$5.0$50.0$500.0$5.0K$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 / $467.74 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $234.42 / $831.76
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $371.54 / $1,202.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $117.49 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $537.03 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $323.59 / $676.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $281.84 / $331.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $138.04 / $331.13