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Single-Gene Genetic Test

Michigan rates for HCPCS 81249

Examination in a specialist laboratory of the DNA of one gene taken from a patient sample, reported as whether particular changes are present in that gene. The finding supports a diagnosis or a treatment decision rather than answering the question by itself.

Facilitymedian $575 · 10th–90th $575$1,0470%50%90th$575Professionalmedian $490 · 10th–90th $316$7240%10%20%10th90th$490$10.0$50.0$200.0$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
$575.44
Median
$575.44
Typical High
$1,047.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$489.78
Typical High
$724.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$416.87
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$512.86
Typical High
$912.01
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$1,412.54
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$602.56
Typical High
$870.96
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$338.84
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$602.56
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$363.08
Typical High
$602.56