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California rates for HCPCS 81425

Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis

Facilitymedian $8,913 · 10th–90th $977–$25,1190%10%20%10th90th$8,913Professionalmedian $5,370 · 10th–90th $2,089–$33,1130%10%20%10th90th$5,370$0.0$0.5$10.0$200.0$5.0K$100.0K

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
$575.44 / $10,471.29 / $33,113.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $15,135.61 / $33,113.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $1,000.00 / $25,703.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $3,548.13 / $9,549.93
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $11,481.54 / $14,791.08
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $3,981.07 / $10,232.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $8,912.51 / $16,982.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,630.78 / $10,964.78
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,495.41 / $6,760.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $5,495.41 / $8,709.64
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $23,988.33 / $23,988.33
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25,118.86 / $38,018.94 / $38,018.94
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $6,456.54 / $14,791.08
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $5,370.32 / $10,000.00
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17,782.79 / $17,782.79 / $17,782.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $5,011.87 / $5,011.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,089.30 / $10,000.00