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DNA Test Of One Gene

Wisconsin rates for HCPCS 81343

Examination of a single gene's DNA in a sample from the patient, reported as whether particular changes are present. The laboratory returns the finding to the ordering clinician, who interprets it in light of the person's symptoms and family history.

Facilitymedian $204 · 10th–90th $123$6030%10%10th90th$204Professionalmedian $129 · 10th–90th $55$4070%10%10th90th$129$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
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$190.55
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$114.82
Typical High
$173.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$371.54
Typical High
$380.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$436.52
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$204.17
Typical High
$426.58
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$575.44
Typical High
$870.96
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$912.01
Medica
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$173.78
Typical High
$478.63
Medica
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$81.28
Typical High
$426.58
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$165.96
Typical High
$389.05
Network Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$218.78
Typical High
$389.05
Quartz
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$323.59
Typical High
$446.68
Quartz
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$645.65
Typical High
$645.65
Quartz
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$691.83
Typical High
$691.83
Security Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$295.12
Security Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$398.11
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$109.65
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$81.28
Typical High
$208.93