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Pennsylvania 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
$9,720.00 / $32,630.40 / $50,187.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $9,360.00 / $10,200.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,239.60 / $53,659.20 / $77,470.80
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,360.00 / $9,360.00 / $9,360.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.11 / $15,600.00 / $35,100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,317.95 / $13,547.31 / $27,140.79
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,520.00 / $9,600.00 / $20,280.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,380.60 / $3,230.45 / $12,500.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,640.00 / $32,630.40 / $49,560.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $9,720.00 / $49,560.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,760.00 / $18,000.00 / $24,000.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,034.00 / $18,574.77 / $39,821.86
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,899.12 / $13,547.31 / $27,140.79
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,000.00 / $12,000.00 / $13,200.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,000.00 / $12,000.00 / $13,200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,040.00 / $7,200.00 / $20,880.00