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High-Complexity Genetic Test For An Uncommon Gene

Iowa rates for HCPCS 81408

A genetic laboratory test that analyzes a specific gene not commonly tested on its own, using methods reserved for higher-complexity genetic analysis such as detailed sequencing of a large or complicated gene. It is used across a wide range of inherited conditions, with the specific gene and condition depending on why the test was ordered. Because there is no more specific standard test available for this particular gene, this general higher-complexity category is used instead.

Facilitymedian $2,570 · 10th–90th $1,549$5,3700%20%10th90th$2,570Professionalmedian $1,698 · 10th–90th $1,202$3,9810%20%10th90th$1,698$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
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$3,090.30
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,698.24
Typical High
$2,398.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,801.89
Typical High
$4,786.30
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,511.89
Typical High
$3,467.37
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,398.83
Typical High
$5,128.61
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$2,398.83
Typical High
$7,762.47
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,570.40
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,187.76
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$5,011.87
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26