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California rates for HCPCS 81416

Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,632.00 / $77,160.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.09 / $1,000.00 / $44,592.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,800.00 / $4,800.00 / $4,800.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.00 / $8,259.36 / $26,268.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,756.02 / $4,800.00 / $12,000.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.60 / $8,676.00 / $33,840.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,460.00 / $7,800.00 / $19,503.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,185.62 / $15,756.00 / $38,688.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,680.24 / $7,974.06 / $22,598.29
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,000.00 / $13,200.00 / $19,200.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,600.00 / $13,200.00 / $21,000.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,200.00 / $57,000.00 / $57,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60,000.00 / $60,000.00 / $90,000.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,000.00 / $6,000.00 / $8,400.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $12,000.00 / $28,655.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,056.09 / $12,240.00 / $23,180.57
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42,120.00 / $42,120.00 / $42,120.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,750.00 / $3,750.00 / $3,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,040.00 / $5,040.00 / $21,790.80