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Virginia 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 $174 · 10th–90th $126–$6760%20%10th90th$174Professionalmedian $107 · 10th–90th $60–$1820%20%10th90th$107$10.0$50.0$200.0$1.0K$5.0K

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 / $316.23 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $114.82 / $181.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $645.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $104.71
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $660.69 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $346.74 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $91.20 / $251.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $165.96 / $208.93
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $199.53 / $354.81
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $316.23 / $354.81
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $199.53 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $199.53 / $10,000.00
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
$63.10 / $75.86 / $165.96