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Pennsylvania rates for HCPCS 81425

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

Facilitymedian $13,804 · 10th–90th $5,012–$20,8930%20%10th90th$13,804Professionalmedian $7,586 · 10th–90th $2,951–$33,1130%20%10th90th$7,586$2.0K$5.0K$10.0K$20.0K$50.0K

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
$5,370.32 / $13,803.84 / $20,892.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,309.57 / $20,892.96 / $33,113.11
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $3,890.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $8,317.64 / $17,378.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $5,370.32 / $11,481.54
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $4,466.84 / $6,760.83
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $5,011.87
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,317.64 / $12,589.25
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $4,570.88 / $10,232.93
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $5,011.87
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,309.57 / $6,309.57 / $6,309.57
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,495.41 / $5,495.41
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $5,495.41
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $5,011.87 / $6,025.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $3,019.95 / $6,760.83