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Illinois rates for HCPCS 81216

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

Facilitymedian $324 · 10th–90th $186–$5620%10%10th90th$324Professionalmedian $151 · 10th–90th $3–$3800%20%10th90th$151$5.0$20.0$100.0$500.0$2.0K

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
$186.21 / $323.59 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $165.96 / $891.25
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $645.65 / $2,344.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $128.82 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $478.63 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $223.87 / $338.84
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $346.74 / $891.25
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $239.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $371.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $112.20 / $186.21