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Pennsylvania rates for HCPCS 81301

Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and normal tissue, if performed

Facilitymedian $832 · 10th–90th $295–$1,4450%10%10th90th$832Professionalmedian $282 · 10th–90th $229–$7760%20%10th90th$282$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $870.96 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $281.84 / $1,023.29
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $676.08 / $2,089.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $575.44 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $363.08 / $794.33
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $309.03 / $467.74
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $562.34 / $870.96
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $912.01
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $562.34 / $1,000.00
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $758.58 / $1,202.26
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $275.42 / $398.11
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $676.08 / $676.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $346.74 / $588.84
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $346.74 / $436.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $346.74 / $416.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $208.93 / $478.63