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New York rates for HCPCS 81436

Hereditary colon cancer disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis); duplication/deletion analysis panel, must include analysis of at least 5 genes, including MLH1, MSH2, EPCAM, SMAD4, and STK11

Facilitymedian $398 · 10th–90th $275–$5890%20%10th90th$398Professionalmedian $676 · 10th–90th $347–$9770%10%20%10th90th$676$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
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
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $707.95 / $851.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $380.19 / $707.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $676.08 / $977.24