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Illinois rates for HCPCS 81322

PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant

Facilitymedian $81 · 10th–90th $47–$1410%10%20%10th90th$81Professionalmedian $40 · 10th–90th $34–$890%20%10th90th$40$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$46.77 / $81.28 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $39.81 / $77.62
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $186.21 / $588.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $35.48 / $35.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $104.71 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $64.57 / $85.11
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $117.49 / $398.11
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $93.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $31.62 / $53.70