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Carrier Test For A Specific Inherited Change

Arizona rates for HCPCS 81209

A blood or saliva test that looks for one or more specific known inherited changes in a single gene, examining those defined changes rather than reading the whole gene from end to end. It is used in carrier screening, where a healthy person is checked for a change that would matter if their partner carried one in the same gene. The result covers only the one gene examined.

Facilitymedian $115 · 10th–90th $30$1860%10%20%10th90th$115Professionalmedian $32 · 10th–90th $22$710%20%10th90th$32$0.1$0.2$1.0$5.0$20.0$100.0$500.0

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
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$138.04
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$33.11
Typical High
$70.79
BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$112.20
Typical High
$204.17
BCBS
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$40.74
Typical High
$269.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$60.26
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$20.89
Typical High
$60.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$41.69
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$38.90
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$38.90