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Washington rates for HCPCS 81161

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

Facilitymedian $417 · 10th–90th $282–$1,2880%10%20%10th90th$417Professionalmedian $263 · 10th–90th $138–$8320%10%10th90th$263$50.0$100.0$200.0$500.0$1.0K$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
$234.42 / $524.81 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $263.03 / $831.76
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $416.87 / $562.34
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $281.84 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $588.84 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $295.12 / $380.19
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $346.74 / $870.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $354.81 / $794.33
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $245.47 / $295.12
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $562.34
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $331.13
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $446.68 / $870.96
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $331.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $416.87 / $741.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $281.84 / $363.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $331.13 / $331.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $117.49 / $309.03
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $281.84 / $501.19