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Nationwide rates for HCPCS 81321

PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis

Facilitymedian $1,000 · 10th–90th $513–$2,6300%10%10th90th$1,000Professionalmedian $513 · 10th–90th $363–$1,0000%20%10th90th$513$1.0$10.0$100.0$1.0K$10.0K$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
$489.78 / $1,047.13 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $489.78 / $954.99
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $831.76 / $2,754.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $549.54 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $1,202.26 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $691.83 / $1,445.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $602.56 / $724.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $363.08 / $831.76

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