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Maine rates for HCPCS 0102U

Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer), genomic sequence analysis panel utilizing a combination of NGS, Sanger, MLPA, and array CGH, with mRNA analytics to resolve variants of unknown significance when indicated (17 genes [sequencing and deletion/duplication])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $2,089.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $912.01 / $1,096.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $630.96 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $2,951.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,548.82
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,318.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $912.01 / $1,230.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,318.26 / $1,659.59