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North Carolina rates for HCPCS 81323

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

Facilitymedian $288 · 10th–90th $191–$1,0000%10%20%10th90th$288Professionalmedian $240 · 10th–90th $74–$3720%10%20%10th90th$240$10.0$50.0$200.0$1.0K

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
$190.55 / $288.40 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $239.88 / $371.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $660.69 / $954.99
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $134.90 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $660.69 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $138.04 / $363.08
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $269.15 / $446.68
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $194.98
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $316.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $114.82 / $354.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $125.89 / $208.93
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,412.54 / $1,412.54
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,513.56 / $2,238.72