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Maryland rates for HCPCS 81554

Pulmonary disease (idiopathic pulmonary fibrosis [IPF]), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positive or negative for high probability of usual interstitial pneumonia [UIP])

Facilitymedian $2,291 · 10th–90th $2,291$4,1690%50%90th$2,291Professionalmedian $4,467 · 10th–90th $2,884$6,6070%20%40%10th90th$4,467$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,019.95 / $4,466.84 / $6,606.93
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $4,365.16 / $4,897.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $3,388.44 / $9,549.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $6,165.95 / $8,128.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,290.87 / $4,168.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,454.71 / $4,786.30
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $2,691.53