go back

Pennsylvania rates for HCPCS 81434

Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4, CNGA1, CRB1, EYS, PDE6A, PDE6B, PRPF31, PRPH2, RDH12, RHO, RP1, RP2, RPE65, RPGR, and USH2A

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.31 / $1,695.08 / $2,500.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.74 / $484.31 / $573.99
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,079.59 / $2,771.17 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.37 / $466.37 / $466.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.30 / $777.28 / $1,748.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.72 / $674.84 / $1,352.30
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.04 / $478.33 / $1,010.47
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.75 / $358.75 / $421.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.22 / $1,695.08 / $2,469.37
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.74 / $484.31 / $2,469.37
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.91 / $896.87 / $1,195.82
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.80 / $925.28 / $1,984.14
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.30 / $674.84 / $1,352.30
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.91 / $597.91 / $709.78
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.91 / $597.91 / $709.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.12 / $358.75 / $896.87