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North Carolina rates for HCPCS 81234

DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles

Facilitymedian $148 · 10th–90th $110$4570%10%20%10th90th$148Professionalmedian $110 · 10th–90th $74$1820%20%10th90th$110$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $147.91 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $109.65 / $169.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $309.03 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $123.03 / $218.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $302.00 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $66.07 / $208.93
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $123.03 / $204.17
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $251.19
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $144.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $162.18 / $165.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $81.28 / $158.49
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $1,023.29