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Ohio rates for HCPCS 81161

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

Facilitymedian $380 · 10th–90th $224$6920%10%10th90th$380Professionalmedian $224 · 10th–90th $112$6760%20%10th90th$224$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
$223.87 / $416.87 / $691.83
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
$257.04 / $295.12 / $512.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $138.04 / $354.81
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $323.59 / $389.05
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $331.13 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $363.08 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $186.21 / $562.34
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $954.99
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $151.36 / $630.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $251.19 / $346.74
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $331.13
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $309.03 / $645.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $281.84 / $416.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $165.96 / $331.13