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New York rates for HCPCS 81435

Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogation for sequence variants and copy number variants

Facilitymedian $1,862 · 10th–90th $759–$3,5480%20%10th90th$1,862Professionalmedian $550 · 10th–90th $288–$1,4450%10%10th90th$550$10.0$50.0$200.0$1.0K$5.0K$20.0K$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
$831.76 / $1,949.84 / $3,548.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $524.81 / $1,318.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $3,388.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $1,548.82
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $588.84 / $588.84
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $1,258.93 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $1,047.13 / $6,309.57
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,137.96 / $5,011.87
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $912.01 / $2,454.71
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $691.83 / $1,318.26
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $1,096.48 / $50,118.72
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $831.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $794.33 / $1,584.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $645.65 / $1,778.28
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $616.60
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $616.60 / $1,412.54