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New York 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 $9,550 · 10th–90th $5,012–$15,1360%10%20%10th90th$9,550Professionalmedian $4,467 · 10th–90th $2,188–$10,0000%10%10th90th$4,467$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
$5,128.61 / $9,549.93 / $15,135.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,019.95 / $4,677.35 / $10,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $5,370.32 / $14,125.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,187.76 / $10,471.29
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $5,495.41 / $5,495.41
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $5,495.41 / $5,495.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $11,748.98 / $14,125.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $7,079.46 / $26,302.68
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $8,912.51 / $20,892.96
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $4,570.88 / $10,232.93
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $5,370.32 / $9,772.37
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,079.46 / $10,471.29 / $50,118.72
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $5,495.41 / $5,623.41
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,495.41 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,890.45 / $8,317.64
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $5,888.44 / $7,244.36
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,168.69 / $5,495.41 / $13,182.57