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Pennsylvania rates for HCPCS 81223

CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence

Facilitymedian $1,349 · 10th–90th $447$2,0890%20%10th90th$1,349Professionalmedian $427 · 10th–90th $347$1,4790%20%10th90th$427$50.0$200.0$1.0K$5.0K$20.0K

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
$426.58 / $1,348.96 / $2,089.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $426.58 / $1,778.28
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,398.83 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $812.83 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $537.03 / $1,122.02
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $446.68 / $676.08
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $501.19
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $831.76 / $1,479.11
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $741.31 / $891.25
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $1,258.93 / $2,041.74
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $407.38 / $1,096.48
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $1,548.82 / $1,548.82
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $1,548.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $501.19 / $602.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $302.00 / $660.69