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Targeted Analysis of a Single Gene

Maine rates for HCPCS 81255

A laboratory test that examines one specific gene in a blood or tissue sample, checking a defined set of positions within it for changes. The result is interpreted together with family history, ancestry where relevant, and any other testing that has been done.

Facilitymedian $89 · 10th–90th $51$2750%20%10th90th$89Professionalmedian $51 · 10th–90th $33$830%20%10th90th$51$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
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$83.18
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$48.98
Typical High
$83.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$1,174.90
Typical High
$1,288.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$30.90
Typical High
$165.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$51.29
Typical High
$52.48
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$61.66
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$40.74
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$51.29
Typical High
$79.43