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New York rates for HCPCS 81297

MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants

Facilitymedian $363 · 10th–90th $162–$6030%10%10th90th$363Professionalmedian $174 · 10th–90th $85–$3890%10%20%10th90th$174$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
$213.80 / $371.54 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $181.97 / $389.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $549.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $363.08
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $213.80 / $213.80
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $213.80 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $457.09 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $257.04 / $1,023.29
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $213.80 / $489.78
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $181.97 / $407.38
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $154.88
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $204.17 / $389.05
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $398.11 / $50,118.72
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $213.80 / $269.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $147.91 / $467.74
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $223.87
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $204.17 / $537.03