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Washington rates for HCPCS 81403

Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or duplication/deletion variants of 2-5 exons)

Facilitymedian $295 · 10th–90th $186–$8510%10%10th90th$295Professionalmedian $204 · 10th–90th $107–$5250%10%10th90th$204$100.0$200.0$500.0$1.0K

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
$263.03 / $426.58 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $229.09 / $794.33
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $275.42 / $371.54
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $186.21 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $398.11 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $194.98 / $251.19
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $229.09 / $575.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $234.42 / $524.81
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $162.18 / $194.98
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $371.54
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $223.87
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $295.12 / $575.44
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $223.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $275.42 / $489.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $186.21 / $245.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $223.87 / $223.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $208.93
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $186.21 / $331.13