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Massachusetts rates for HCPCS 81402

Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants [typically using non-sequencing target variant analysis], immunoglobulin and T-cell receptor gene rearrangements, duplication/deletion variants of 1 exon, loss of heterozygosity [LOH], uniparental disomy [UPD])

Facilitymedian $302 · 10th–90th $135–$4900%20%10th90th$302Professionalmedian $151 · 10th–90th $100–$2880%20%40%10th90th$151$10.0$50.0$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
$100.00 / $338.84 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $120.23 / $288.40
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $436.52 / $891.25
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $151.36 / $436.52
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $302.00 / $426.58
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $181.97 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $158.49 / $389.05
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $257.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $251.19
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $436.52 / $891.25
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $151.36 / $436.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $151.36 / $181.97
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $151.36 / $288.40