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Gene Test For Thiopurine Drug Safety

Massachusetts rates for HCPCS 81306

A test that checks for common inherited changes in a gene controlling how the body breaks down thiopurine medicines, which are used for leukemia, inflammatory bowel disease, and some autoimmune conditions. People carrying these changes clear the drug slowly and can suffer dangerous drops in blood counts at a standard dose. The result helps a doctor set a safe starting dose.

Facilitymedian $447 · 10th–90th $219$9120%10%20%10th90th$447Professionalmedian $288 · 10th–90th $195$6170%20%40%10th90th$288$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
$204.17
Median
$660.69
Typical High
$912.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$245.47
Typical High
$537.03
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$338.84
Typical High
$954.99
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$288.40
Typical High
$977.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$363.08
Typical High
$575.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$229.09
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$346.74
Typical High
$724.44
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$1,698.24
Typical High
$8,511.38
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$489.78
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$524.81
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$338.84
Typical High
$954.99
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$288.40
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$288.40
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$288.40
Typical High
$602.56