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New York 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
$10,200.00 / $19,800.00 / $34,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.09 / $1,900.00 / $12,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,780.00 / $4,780.00 / $12,428.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,719.62 / $4,800.00 / $16,320.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,200.00 / $12,000.00 / $12,000.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,970.00 / $12,000.00 / $12,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,185.62 / $24,301.44 / $31,139.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,230.06 / $16,240.56 / $57,840.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $15,600.00 / $27,000.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,520.00 / $9,600.00 / $21,960.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,702.94 / $11,400.01 / $14,123.97
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.50 / $25,350.00 / $31,139.77
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.00 / $13,440.00 / $36,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,040.00 / $7,200.00 / $18,186.96
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.70 / $12,720.02 / $12,720.02
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,515.60 / $11,400.01 / $14,123.97