Gene analysis (frataxin) of full sequence
Medicare pricing data for 33 providers across 9 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 (frataxin) of full sequence (HCPCS code 81286) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $269.24, but hospitals typically charge $299.76 — a 1.1x 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 $269.24, your out-of-pocket cost would be approximately $53.85. 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 1.1x more than what Medicare allows for this procedure. Medicare actually pays $269.24 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Louisiana | $269 | $279 | 1 | 58 | +0.0% |
| New Jersey | $269 | $335 | 2 | 2,914 | +0.0% |
| Oklahoma | $269 | $338 | 3 | 257 | +0.0% |
| Pennsylvania | $269 | $275 | 1 | 1,058 | +0.0% |
| Texas | $269 | $278 | 13 | 6,176 | +0.0% |
| Arizona | $269 | $300 | 1 | 119 | +0.0% |
| Colorado | $269 | $1,172 | 1 | 12 | +0.0% |
| Florida | $269 | $329 | 10 | 995 | -0.1% |
| Maryland | $251 | $520 | 1 | 34 | -7.0% |
⚠️ 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