Gene analysis (poly[a] binding protein nuclear 1) for abnormal alleles
Medicare pricing data for 36 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 (poly[a] binding protein nuclear 1) for abnormal alleles (HCPCS code 81312) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $134.26, but hospitals typically charge $152.23 — 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 $134.26, your out-of-pocket cost would be approximately $26.85. 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 $134.26 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $134 | $164 | 10 | 846 | 0.0% |
| Louisiana | $134 | $168 | 2 | 28 | 0.0% |
| Maryland | $134 | $425 | 1 | 53 | 0.0% |
| New Jersey | $134 | $166 | 3 | 3,023 | 0.0% |
| Oklahoma | $134 | $186 | 3 | 287 | 0.0% |
| Pennsylvania | $134 | $137 | 1 | 1,101 | 0.0% |
| Texas | $134 | $142 | 12 | 6,237 | 0.0% |
| Arizona | $134 | $150 | 1 | 60 | 0.0% |
| Colorado | $134 | $594 | 1 | 13 | 0.0% |
⚠️ 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