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Wisconsin rates for HCPCS 0078U

Pain management (opioid-use disorder) genotyping panel, 16 common variants (ie, ABCB1, COMT, DAT1, DBH, DOR, DRD1, DRD2, DRD4, GABA, GAL, HTR2A, HTTLPR, MTHFR, MUOR, OPRK1, OPRM1), buccal swab or other germline tissue sample, algorithm reported as positive or negative risk of opioid-use disorder

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.83 / $1,450.02 / $2,338.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.86 / $1,214.21 / $1,379.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,803.64 / $1,803.64 / $1,803.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,254.55 / $2,254.55 / $2,254.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $58.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.37 / $884.37 / $1,307.64
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.82 / $1,803.64 / $1,803.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,803.64 / $2,254.55 / $2,254.55