Tynbil: Know the *real* price for healthcare services

Nationwide rates for HCPCS 81443

Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders [eg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher disease, Tay-Sachs disease], beta hemoglobinopathies, phenylketonuria, galactosemia), genomic sequence analysis panel, must include sequencing of at least 15 genes (eg, ACADM, ARSA, ASPA, ATP7B, BCKDHA, BCKDHB, BLM, CFTR, DHCR7, FANCC, G6PC, GAA, GALT, GBA, GBE1, HBB, HEXA, IKBKAP, MCOLN1, PAH)

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,801.89 / $10,471.29	Facility	$1,584.89	$3,801.89	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,995.26 / $4,073.80	Professional	$1,621.81	$1,995.26	$4,073.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,162.28 / $11,220.18	Facility	$2,187.76	$3,162.28	$11,220.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,584.89 / $4,168.69	Professional	$977.24	$1,584.89	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,570.88 / $10,232.93	Facility	$1,584.89	$4,570.88	$10,232.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,818.38 / $5,888.44	Professional	$1,148.15	$2,818.38	$5,888.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,454.71 / $2,951.21	Facility	$1,479.11	$2,454.71	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $2,951.21	Professional	$1,023.29	$1,479.11	$2,951.21

Nationwide rates for HCPCS 81443

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