Average Medicaid Molecular & Genetic Testing Payments in Montvale, NJ: $367.16
Avg. Paid
$367.16
Range
$367.16 – $367.16
Total Claims
27,312
Providers
1
Typical Payment Range
Typical Medicaid Molecular & Genetic Testing payments fall between $45.12 and $259.78 per claim (median: $127.02). The top 10% of payments exceed $446.97.
Based on per-provider averages across all Medicaid claims in this category.
Advanced laboratory tests that analyze DNA, RNA, or proteins to diagnose genetic disorders, identify infectious agents, and guide personalized treatment.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Molecular & Genetic Testing in Montvale, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Advanced Molecular Diagnostics, Llc
136 Summit Avenue |
$367.16 | 27,312 | 23,709 |
What to Expect: Molecular & Genetic Testing
Molecular tests require a specimen — usually blood, saliva, or tissue. The specimen is analyzed at a specialized laboratory. Turnaround time ranges from a few days to several weeks depending on the complexity of the test. Genetic counseling may be recommended before and after testing to help you understand results. Some tests may require insurance pre-authorization.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 81220 | CFTR gene common variants | $186.90 | 2,451,870 | 508 |
| 81243 | FMR1 gene analysis | $17.34 | 1,228,607 | 195 |
| 81161 | DMD gene duplication/deletion | $44.93 | 553,641 | 31 |
| 81200 | ASPA gene analysis | $13.64 | 480,286 | 55 |
| 81225 | CYP2C19 gene analysis | $30.77 | 435,135 | 115 |
| 81226 | CYP2D6 gene analysis | $42.17 | 433,641 | 112 |
| 81227 | CYP2C9 gene analysis | $13.84 | 416,877 | 104 |
| 81230 | CYP3A4 gene analysis | $13.12 | 390,210 | 81 |
| 81162 | BRCA1/BRCA2 full sequence | $639.56 | 231,382 | 61 |
| 81229 | Cytogenomic microarray SNP | $399.71 | 211,295 | 128 |
| 81242 | FANCC gene analysis | $12.89 | 180,433 | 72 |
| 81209 | BLM gene analysis | $15.09 | 160,111 | 60 |
| 81241 | F5 Factor V Leiden | $16.77 | 130,299 | 170 |
| 81240 | F2 prothrombin gene analysis | $15.60 | 94,205 | 144 |
| 81250 | G6PC glucose-6-phosphatase | $12.38 | 76,208 | 35 |
| 81206 | BCR/ABL1 translocation major | $46.01 | 74,525 | 79 |
| 81231 | CYP3A5 gene analysis | $16.64 | 59,184 | 83 |
| 81205 | BCKDHB gene analysis | $17.04 | 47,419 | 18 |
| 81210 | BRAF gene analysis | $32.19 | 44,458 | 25 |
| 81207 | BCR/ABL1 translocation minor | $34.44 | 41,720 | 43 |
| 81201 | APC gene full sequence | $171.79 | 39,021 | 47 |
| 81235 | EGFR gene analysis | $59.57 | 34,438 | 28 |
| 81219 | CALR gene analysis | $30.08 | 23,478 | 32 |
| 81244 | FMR1 gene characterization | $16.35 | 21,715 | 24 |
| 81211 | BRCA1/BRCA2 common variants | $790.93 | 19,033 | 20 |
| 81163 | BRCA1/BRCA2 full seq known | $136.86 | 14,168 | 5 |
| 81222 | CFTR dup/del variants | $68.86 | 13,269 | 16 |
| 81170 | ABL1 gene analysis | $74.18 | 13,088 | 6 |
| 81236 | EZH2 gene analysis | $43.74 | 13,050 | 13 |
| 81213 | BRAF gene common variants | $215.93 | 12,502 | 8 |
| 81175 | ASXL1 gene analysis | $98.65 | 11,184 | 11 |
| 81223 | CFTR full gene sequence | $376.17 | 10,979 | 30 |
| 81232 | DPYD gene analysis | $11.89 | 9,052 | 36 |
| 81249 | G6PC gene analysis | $108.64 | 8,460 | 20 |
| 81202 | APC gene known variants | $36.58 | 8,071 | 2 |
| 81224 | CFTR intron 8 poly-T analysis | $25.15 | 6,826 | 1 |
| 81238 | F9 coagulation factor IX | $88.85 | 6,714 | 20 |
| 81203 | APC gene dup/del variants | $112.77 | 6,140 | 12 |
| 81216 | BRCA2 full sequence | $9.31 | 4,286 | 7 |
| 81208 | BCR/ABL1 translocation other | $42.10 | 4,195 | 5 |
| 81245 | FLT3 gene analysis | $28.71 | 4,023 | 6 |
| 81247 | G6PD gene analysis | $12.85 | 3,807 | 10 |
| 81228 | Cytogenomic microarray copy | $147.79 | 1,796 | 9 |
| 81233 | BTK gene analysis | $15.03 | 1,612 | 6 |
| 81218 | CEBPA gene full sequence | $60.01 | 1,088 | 8 |
| 81234 | CALR gene analysis type 1 | $30.95 | 800 | 1 |
| 81212 | BRCA1/BRCA2 185delAG | $75.51 | 460 | 4 |
| 81214 | BRCA1 gene partial seq | $22.10 | 415 | 1 |
| 81176 | ASXL1 gene analysis targeted | $42.41 | 215 | 1 |
| 81165 | BRCA1 full sequence | $44.39 | 154 | 2 |
| 81167 | BRCA2 full sequence | $63.15 | 89 | 1 |
| 81215 | BRCA1 known familial variant | $139.73 | 74 | 1 |
| 81237 | EZH2 gene full sequence | $21.78 | 45 | 1 |
| 81217 | BRCA2 known familial variant | $97.91 | 41 | 1 |
| 81246 | FLT3 gene analysis ITD variants | $6.76 | 41 | 1 |
| 81164 | BRCA1/BRCA2 full seq dup/del | $0.00 | 35 | 2 |
| 81166 | BRCA1 full dup/del analysis | $32.65 | 18 | 1 |
| 81221 | CFTR known familial variants | — | — | — |
| 81239 | DMPK gene analysis | — | — | — |
| 81248 | GBA glucocerebrosidase gene | — | — | — |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Molecular & Genetic Testing cost in Montvale, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Molecular & Genetic Testing in Montvale, NJ is $367.16 per claim, based on 27,312 claims from 1 providers. Typical payments fall between $45.12 and $259.78. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Molecular & Genetic Testing in Montvale, NJ?
There are 1 Medicaid providers offering Molecular & Genetic Testing related services in Montvale, NJ according to public payment data.
What is the price range for Molecular & Genetic Testing in Montvale, NJ?
Medicaid reimbursement for Molecular & Genetic Testing in Montvale, NJ ranges from $367.16 to $367.16 per claim, with an average of $367.16. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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