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California rates for HCPCS 81161

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

Facilitymedian $676 · 10th–90th $209–$1,4130%10%10th90th$676Professionalmedian $263 · 10th–90th $112–$1,3800%10%10th90th$263$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$380.19 / $1,174.90 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $269.15 / $1,862.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $645.65 / $1,412.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $128.82 / $1,174.90
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $645.65 / $831.76
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $112.20 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $501.19 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $186.21 / $602.56
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $281.84 / $380.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $309.03 / $489.78
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $1,318.26
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $2,089.30 / $2,089.30
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $346.74 / $870.96
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $281.84 / $575.44
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $977.24 / $977.24
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $158.49 / $281.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $281.84 / $281.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $117.49 / $549.54