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CYP2C19 Drug Metabolism Gene Test

Rhode Island rates for HCPCS 81225

A blood or cheek-swab test that examines common variations in the CYP2C19 gene, which controls one of the liver enzymes that break medicines down. The result predicts whether a person clears certain drugs quickly, normally, or slowly, so a prescriber can pick a suitable medicine or adjust the dose. Clopidogrel, several antidepressants, and some acid-reducing medicines depend on this enzyme.

Facilitymedian $646 · 10th–90th $339$6460%50%10th$646Professionalmedian $204 · 10th–90th $132$7240%20%10th90th$204$200.0$500.0$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
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$645.65
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$204.17
Typical High
$724.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$338.84
Typical High
$436.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$218.78
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$812.83
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$173.78
Typical High
$426.58