go back

Texas rates for HCPCS 81439

Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at least 5 cardiomyopathy-related genes (eg, DSG2, MYBPC3, MYH7, PKP2, TTN)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.88 / $1,091.42 / $2,849.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.54 / $386.03 / $701.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.14 / $1,865.83 / $3,271.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $310.00 / $467.92
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.90 / $584.90 / $584.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.71 / $1,220.82 / $2,718.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.00 / $403.63 / $1,134.19
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.00 / $3,500.00 / $3,500.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,924.50 / $2,924.50 / $4,386.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.49 / $584.90 / $701.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.66 / $584.90 / $731.13
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $701.88 / $1,316.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.49 / $584.90 / $1,277.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.95 / $475.29 / $986.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.56 / $245.66 / $584.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.66 / $336.98 / $481.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.11 / $288.83 / $584.90