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North Carolina rates for HCPCS 81304

MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants

Facilitymedian $162 · 10th–90th $120–$5010%10%20%10th90th$162Professionalmedian $120 · 10th–90th $95–$2000%20%10th90th$120$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$120.23 / $162.18 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $120.23 / $190.55
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $338.84 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $134.90 / $239.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $331.13 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $70.79 / $199.53
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $141.25 / $234.42
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $186.21
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $158.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $177.83 / $181.97
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $89.13 / $173.78
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $1,122.02