CPT 81239 Pathology/Laboratory
Gene analysis (DM1 protein kinase) for characterization of alleles Cost
Body System: General
Medicare Facility Rate
$275
CMS PFS CY2026
Medicare Non-Facility Rate
$275
Office/clinic setting
Frequently Asked Questions
How much does Gene analysis (DM1 protein kinase) for characterization of alleles cost?
The Medicare facility rate is $275. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Gene analysis (DM1 protein kinase) for characterization of alleles cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $275.