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Pennsylvania rates for HCPCS 81351

TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence

Facilitymedian $1,514 · 10th–90th $646–$2,6920%10%10th90th$1,514Professionalmedian $525 · 10th–90th $363–$1,5140%20%10th90th$525$200.0$1.0K$5.0K$20.0K

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
$758.58 / $1,621.81 / $2,691.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $524.81 / $1,905.46
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $776.25 / $2,089.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,090.30 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $1,047.13 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $562.34 / $977.24
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $575.44 / $870.96
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $776.25 / $1,202.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $1,288.25 / $1,318.26
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $676.08 / $1,096.48
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $1,230.27 / $2,187.76
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $524.81 / $794.33
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $707.95
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $645.65 / $707.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $645.65 / $776.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $389.05 / $851.14