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Inherited Opioid Dependence Risk Panel

New Jersey rates for HCPCS 0078U

Estimates a person's inherited susceptibility to opioid use disorder. It examines 16 variants across genes involved in opioid and brain signaling — OPRM1, OPRK1, COMT, DRD2, DRD4, HTR2A, ABCB1 and MTHFR — in cells collected on a swab, and reports a risk classification.

Rates data updated July 2026.

How much rates vary

Facilitymedian $8,710 · 10th to 90th $138 to $25,119Professionalmedian $479 · 10th to 90th $437 to $832
$100$500$2K$10Kfacility $8,710professional $479

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$10,471.29
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$446.68
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$501.19
Typical High
$831.76