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West Virginia rates for HCPCS 81161

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

Facilitymedian $417 · 10th–90th $229–$4570%50%10th90th$417Professionalmedian $224 · 10th–90th $186–$3240%20%40%10th90th$224$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
$229.09 / $416.87 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $223.87 / $234.42
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $380.19 / $457.09
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $380.19 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $537.03 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $1,348.96 / $1,348.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $117.49 / $165.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $112.20 / $208.93