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Florida rates for HCPCS 81323

PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant

Facilitymedian $316 · 10th–90th $166–$1,4790%5%10%10th90th$316Professionalmedian $229 · 10th–90th $58–$3550%10%20%10th90th$229$5.0$20.0$100.0$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
$194.98 / $363.08 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $234.42 / $363.08
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $302.00 / $354.81
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $302.00 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $70.79 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $181.97 / $512.86
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $181.97 / $181.97
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $97.72 / $141.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $181.97 / $302.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $125.89 / $269.15
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $302.00 / $302.00