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Michigan 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 $269 · 10th–90th $269–$4900%20%40%90th$269Professionalmedian $257 · 10th–90th $100–$3390%10%20%10th90th$257$10.0$20.0$50.0$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
$269.15 / $269.15 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $239.88 / $338.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $426.58 / $741.31
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $281.84
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $295.12 / $676.08
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $371.54 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $281.84 / $630.96
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $489.78
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $275.42 / $389.05
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $281.84 / $691.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $281.84 / $281.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $169.82 / $281.84