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New York rates for HCPCS 81261

IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction)

Facilitymedian $372 · 10th–90th $170$6030%10%20%10th90th$372Professionalmedian $170 · 10th–90th $98$4570%10%20%10th90th$170$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$169.82 / $380.19 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $177.83 / $489.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $512.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $426.58
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $199.53 / $199.53
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $199.53 / $199.53
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $426.58 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $275.42 / $954.99
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $199.53 / $549.54
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $177.83 / $371.54
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $186.21 / $354.81
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $645.65 / $870.96
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $371.54 / $50,118.72
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $251.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $239.88 / $323.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $138.04 / $446.68
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $208.93 / $251.19
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $199.53 / $630.96