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Utah rates for HCPCS 81161

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

Facilitymedian $562 · 10th–90th $324–$8320%20%10th90th$562Professionalmedian $245 · 10th–90th $76–$8320%10%10th90th$245$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
$562.34 / $562.34 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $263.03 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $288.40 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $302.00 / $588.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $1,122.02
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $239.88 / $251.19
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $281.84
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $245.47 / $416.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $117.49 / $165.96