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Iowa 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 $16,982 · 10th–90th $9,333–$32,3590%20%10th90th$16,982Professionalmedian $10,471 · 10th–90th $7,244–$23,9880%20%40%10th90th$10,471$0.0$0.2$2.0$20.0$200.0$2.0K$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
$2,511.89 / $18,620.87 / $32,359.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,943.28 / $10,232.93 / $17,378.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $19,054.61 / $19,054.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,454.40 / $22,908.68 / $28,840.32
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,585.78 / $10,964.78 / $20,892.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $14,454.40 / $32,359.37
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,244.36 / $12,022.64 / $46,773.51
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,454.40 / $14,454.40 / $15,488.17
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $12,882.50 / $25,703.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $12,022.64 / $27,542.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,244.36 / $7,244.36 / $27,542.29
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $12,022.64 / $12,022.64