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Missouri rates for HCPCS 81161

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

Facilitymedian $363 · 10th–90th $245–$5750%20%10th90th$363Professionalmedian $234 · 10th–90th $83–$4570%10%10th90th$234$5.0$20.0$100.0$500.0$2.0K

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
$269.15 / $467.74 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $239.88 / $467.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $977.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $141.25 / $436.52
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $204.17 / $363.08
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $194.98 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $549.54 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $218.78 / $398.11
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $331.13 / $1,318.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $165.96 / $1,380.38
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
$79.43 / $147.91 / $331.13