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Hawaii 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)

Facilitymedian $11,749 · 10th–90th $10,000$14,4540%20%40%10th90th$11,749Professionalmedian $11,749 · 10th–90th $1,000$19,9530%10%20%10th90th$11,749$1.0K$2.0K$5.0K$10.0K$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
$10,000.00 / $11,748.98 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $10,232.93 / $19,952.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,454.40 / $14,454.40 / $14,454.40
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $13,489.63 / $15,135.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,182.57 / $14,454.40 / $18,197.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $12,022.64 / $14,454.40
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,232.93 / $17,782.79 / $26,915.35