go back

Maine rates for HCPCS 0029U

Drug metabolism (adverse drug reactions and drug response), targeted sequence analysis (ie, CYP1A2, CYP2C19, CYP2C9, CYP2D6, CYP3A4, CYP3A5, CYP4F2, SLCO1B1, VKORC1 and rs12777823)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.27 / $742.27 / $1,577.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.24 / $601.24 / $601.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.91 / $326.60 / $1,660.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.27 / $742.27 / $749.69
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.27 / $742.27 / $1,202.48
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.24 / $601.24 / $742.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.36 / $445.36 / $1,113.41