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Michigan rates for HCPCS 81212

BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants

Facilitymedian $417 · 10th–90th $417–$7760%50%90th$417Professionalmedian $380 · 10th–90th $115–$5250%20%10th90th$380$10.0$50.0$200.0$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
$416.87 / $416.87 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $371.54 / $524.81
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $660.69 / $1,174.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $436.52 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $436.52 / $676.08
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $776.25
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $524.81 / $776.25
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $436.52 / $1,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $436.52 / $436.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $107.15 / $263.03