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North Carolina rates for HCPCS 81251

GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A)

Facilitymedian $50 · 10th–90th $37–$1580%10%20%10th90th$50Professionalmedian $38 · 10th–90th $24–$830%20%10th90th$38$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
$37.15 / $50.12 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $38.02 / $83.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $107.15 / $151.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $42.66 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $102.33 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $22.39 / $63.10
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $47.86 / $100.00
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $50.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $56.23 / $57.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $28.18 / $69.18
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $234.42 / $354.81