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New York rates for HCPCS 81304

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

Facilitymedian $269 · 10th–90th $151$4470%10%20%10th90th$269Professionalmedian $120 · 10th–90th $60$2750%10%20%10th90th$120$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
$151.36 / $281.84 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $125.89 / $275.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $389.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $60.26 / $218.78
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $151.36 / $151.36
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $151.36 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $323.59 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $204.17 / $724.44
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $151.36 / $338.84
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $134.90 / $281.84
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $141.25 / $269.15
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $281.84 / $50,118.72
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $154.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $151.36 / $186.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $117.49 / $281.84
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $128.82 / $173.78
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $141.25 / $295.12