CPT 81323 Pathology/Laboratory
Gene analysis (phosphatase and tensin homolog), duplication or deletion variant Cost
Body System: General
Medicare Facility Rate
$300
CMS PFS CY2026
Medicare Non-Facility Rate
$300
Office/clinic setting
Frequently Asked Questions
How much does Gene analysis (phosphatase and tensin homolog), duplication or deletion variant cost?
The Medicare facility rate is $300. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Gene analysis (phosphatase and tensin homolog), duplication or deletion variant 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 $300.