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Genetic Test For A Prognostic Cancer Mutation

Oklahoma rates for HCPCS 81263

A molecular blood or bone marrow test that looks for a specific genetic mutation acquired within cancer cells themselves, rather than examining the gene-rearrangement pattern shared among a group of cells. It is used in certain blood cancers to help provide information about how the disease is expected to behave and to help guide treatment decisions. Results are interpreted alongside other clinical findings.

Rates data updated July 2026.

Facilitymedian $977 · 10th–90th $219$1,7780%10%10th90th$977Professionalmedian $219 · 10th–90th $123$4570%20%10th90th$219$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$218.78
Median
$295.12
Typical High
$741.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$457.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,258.93
Typical High
$1,778.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$794.33
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$208.93
Typical High
$588.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$398.11
Typical High
$575.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$169.82
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$295.12
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$151.36
Typical High
$239.88