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DPYD Gene Test Before Chemotherapy

Washington, DC rates for HCPCS 81232

A test on a blood or cheek-swab sample that looks for a set of common changes in the DPYD gene, which controls how quickly the body breaks down certain chemotherapy drugs. People carrying one of these changes clear the drug slowly and can suffer severe side effects at a normal dose, so the result guides dosing.

Facilitymedian $209 · 10th–90th $132$1,0720%20%40%10th90th$209Professionalmedian $135 · 10th–90th $105$3890%20%40%10th90th$135$0.2$1.0$5.0$20.0$100.0$500.0

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
$131.83
Median
$131.83
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$134.90
Typical High
$389.05
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$141.25
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$295.12
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$104.71
Typical High
$794.33
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$302.00
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$208.93
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$79.43
Typical High
$165.96