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Massachusetts rates for HCPCS 81413

Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing of at least 10 genes, including ANK2, CASQ2, CAV3, KCNE1, KCNE2, KCNH2, KCNJ2, KCNQ1, RYR2, and SCN5A

Facilitymedian $1,288 · 10th–90th $537–$2,2910%10%20%10th90th$1,288Professionalmedian $589 · 10th–90th $437–$1,3800%50%10th90th$589$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$562.34 / $562.34 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $562.34 / $1,380.38
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $831.76 / $2,818.38
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $588.84 / $1,949.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,445.44 / $2,089.30
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $758.58 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $660.69 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $707.95 / $1,412.54
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $3,467.37 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $1,000.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $1,071.52
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $831.76 / $2,818.38
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $588.84 / $1,949.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $588.84 / $954.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $588.84 / $1,122.02