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Kentucky rates for HCPCS 81161

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

Facilitymedian $282 · 10th–90th $219–$6760%10%20%10th90th$282Professionalmedian $219 · 10th–90th $107–$5370%10%10th90th$219$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$218.78 / $281.84 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $229.09 / $831.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $281.84 / $295.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $112.20
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $389.05 / $457.09
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $363.08 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $537.03 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $1,348.96 / $1,348.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $281.84 / $281.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $120.23 / $223.87