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Wisconsin rates for HCPCS 81241

F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant

Facilitymedian $224 · 10th–90th $87–$6030%10%10th90th$224Professionalmedian $71 · 10th–90th $35–$2880%5%10%10th90th$71$5.0$10.0$20.0$50.0$100.0$200.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $223.87 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $64.57 / $288.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $199.53 / $199.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $302.00
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $109.65
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $234.42 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $109.65 / $229.09
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $346.74 / $524.81
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $436.52 / $489.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $144.54 / $338.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $50.12 / $363.08
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $64.57 / $75.86
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $87.10 / $112.20
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $117.49 / $208.93
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $173.78 / $257.04
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $346.74 / $346.74
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $363.08 / $363.08
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $154.88
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $218.78 / $398.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $58.88 / $158.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $95.50 / $371.54