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New Jersey 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 $182 · 10th–90th $138–$8510%20%10th90th$182Professionalmedian $107 · 10th–90th $39–$3310%10%20%10th90th$107$10.0$50.0$200.0$1.0K$5.0K$20.0K$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
$138.04 / $181.97 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $109.65 / $331.13
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $380.19 / $7,244.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $302.00 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $125.89 / $275.42
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $144.54 / $263.03
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $9,772.37 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $138.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $138.04 / $281.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $81.28 / $147.91