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New Jersey rates for HCPCS 81405

Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array analysis)

Facilitymedian $631 · 10th–90th $182–$2,2910%10%10th90th$631Professionalmedian $240 · 10th–90th $174–$4470%20%10th90th$240$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$302.00 / $630.96 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $245.47 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $660.69 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $323.59 / $660.69
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $316.23 / $575.44
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $10,471.29 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $302.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $302.00 / $616.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $181.97 / $316.23