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Massachusetts rates for HCPCS 81235

EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q)

Facilitymedian $646 · 10th–90th $240$1,0960%10%20%10th90th$646Professionalmedian $324 · 10th–90th $219$6920%20%10th90th$324$10.0$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
$229.09 / $724.44 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $295.12 / $630.96
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $371.54 / $1,047.13
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $331.13 / $1,071.52
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $645.65 / $933.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $398.11 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $309.03 / $851.14
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $549.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $588.84
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $371.54 / $1,047.13
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $331.13 / $1,071.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $323.59 / $398.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $323.59 / $676.08