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California rates for HCPCS 81406

Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons)

Facilitymedian $562 · 10th–90th $132$1,4790%5%10th90th$562Professionalmedian $275 · 10th–90th $100$1,7780%10%10th90th$275$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
$100.00 / $398.11 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $229.09 / $1,819.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $660.69 / $1,412.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $380.19 / $741.31
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $645.65 / $831.76
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $478.63 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $512.86 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $204.17 / $812.83
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $309.03 / $426.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $309.03 / $537.03
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $6,606.93
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $2,137.96 / $2,137.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $338.84 / $831.76
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $309.03 / $794.33
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,000.00
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $316.23 / $4,265.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $281.84 / $281.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $117.49 / $616.60