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B-Cell Clonality Testing

New York rates for HCPCS 81262

A laboratory test on blood, bone marrow, or tissue that examines how B cells, a type of white blood cell, have rearranged their antibody genes. If a large share of the cells carry exactly the same rearrangement, they all descend from one cell, which supports a diagnosis of a B-cell cancer such as lymphoma. A varied pattern points instead to a normal immune reaction.

Facilitymedian $120 · 10th–90th $59$1950%10%20%10th90th$120Professionalmedian $55 · 10th–90th $28$1260%10%10th90th$55$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
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$123.03
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$57.54
Typical High
$125.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$177.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$120.23
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$69.18
Typical High
$69.18
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$69.18
Typical High
$69.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$144.54
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$83.18
Typical High
$331.13
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$69.18
Typical High
$190.55
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$61.66
Typical High
$128.82
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$64.57
Typical High
$123.03
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$128.82
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$69.18
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$47.86
Typical High
$154.88
Univera
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$58.88
Typical High
$81.28
Univera
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$64.57
Typical High
$162.18