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Moderate-Complexity Genetic Analysis

West Virginia rates for HCPCS 81403

This genetic test analyzes a specific inherited gene change of moderate testing complexity. It's used when the gene involved doesn't have its own dedicated, individually named test, so a standardized level of testing is used instead based on the complexity of the analysis required. It helps confirm or rule out a specific genetic condition being considered by a doctor or genetic counselor.

Rates data updated July 2026.

Facilitymedian $372 · 10th–90th $229$1,6980%20%10th90th$372Professionalmedian $148 · 10th–90th $123$1580%20%10th90th$148$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
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$371.54
Typical High
$1,698.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$147.91
Typical High
$158.49
CareSource
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
CareSource
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$223.87
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$512.86
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$891.25
Typical High
$891.25
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$93.33
Typical High
$204.17