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Virginia rates for HCPCS 81163

BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis

Facilitymedian $525 · 10th–90th $398–$2,2910%20%10th90th$525Professionalmedian $355 · 10th–90th $186–$8910%20%10th90th$355$10.0$50.0$200.0$1.0K$5.0K

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
$354.81 / $977.24 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $363.08 / $891.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $1,995.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $331.13
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $6,309.57 / $13,182.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $1,148.15 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $281.84 / $724.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $512.86 / $660.69
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $512.86 / $794.33
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $977.24
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $602.56 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $602.56 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $562.34 / $933.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $234.42 / $512.86