Gene analysis (coagulation factor v) leiden variant
Medicare pricing data for 129 providers across 13 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Gene analysis (coagulation factor v) leiden variant (HCPCS code 81241) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $71.85, but hospitals typically charge $132.88 — a 1.8x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $71.85, your out-of-pocket cost would be approximately $14.37. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 1.8x more than what Medicare allows for this procedure. Medicare actually pays $71.85 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maryland | $72 | $272 | 3 | 101 | +0.1% |
| New Mexico | $72 | $367 | 1 | 32 | +0.1% |
| North Carolina | $72 | $331 | 3 | 24 | +0.1% |
| Ohio | $72 | $286 | 7 | 51 | +0.1% |
| Oklahoma | $72 | $375 | 4 | 62 | +0.1% |
| Pennsylvania | $72 | $281 | 9 | 106 | +0.1% |
| Virginia | $72 | $268 | 3 | 38 | +0.1% |
| Puerto Rico | $72 | $74 | 6 | 19 | +0.1% |
| Arizona | $72 | $266 | 2 | 22 | +0.1% |
| Colorado | $72 | $309 | 6 | 281 | +0.1% |
| Florida | $72 | $108 | 34 | 18,504 | +0.0% |
| Texas | $72 | $283 | 23 | 916 | -0.1% |
| New Jersey | $72 | $278 | 9 | 1,385 | -0.2% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber