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Illinois rates for HCPCS 81329

SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed

Facilitymedian $224 · 10th–90th $112–$4570%5%10%10th90th$224Professionalmedian $110 · 10th–90th $5–$3310%10%10th90th$110$5.0$20.0$100.0$500.0$2.0K

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
$112.20 / $223.87 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $114.82 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $218.78 / $1,778.28
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $95.50 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $331.13 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $158.49 / $229.09
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $239.88 / $616.60
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
$177.83 / $177.83 / $177.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $275.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $81.28 / $138.04