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CYP2C19 Drug Metabolism Gene Test

South Carolina 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 $537 · 10th–90th $204$1,3800%10%20%10th90th$537Professionalmedian $234 · 10th–90th $195$3470%20%10th90th$234$10.0$20.0$50.0$100.0$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
$204.17
Median
$724.44
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$234.42
Typical High
$346.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,905.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$302.00
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$870.96
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$134.90
Typical High
$309.03
Medcost
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$275.42
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$288.40
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$173.78
Typical High
$295.12