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Pennsylvania rates for HCPCS 81165

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

Facilitymedian $724 · 10th–90th $263–$1,2300%10%10th90th$724Professionalmedian $229 · 10th–90th $158–$5370%20%10th90th$229$100.0$500.0$2.0K$10.0K$50.0K

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
$263.03 / $724.44 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $229.09 / $831.76
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,348.96 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $467.74 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $239.88 / $426.58
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $251.19 / $380.19
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $281.84
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $338.84 / $537.03
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $549.54 / $977.24
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $229.09 / $346.74
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $309.03 / $354.81
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $354.81 / $416.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $281.84 / $338.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $169.82 / $380.19