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Iowa rates for HCPCS 81209

BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant

Facilitymedian $62 · 10th–90th $30–$1070%10%10th90th$62Professionalmedian $35 · 10th–90th $25–$870%10%20%10th90th$35$10.0$20.0$50.0$100.0$200.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $74.13 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $33.88 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $75.86 / $95.50
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $70.79 / $144.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $46.77 / $104.71
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $40.74 / $158.49
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $51.29
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $42.66 / $83.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $91.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $100.00
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90