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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
$1,303.95 / $1,303.95 / $2,770.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.00 / $991.00 / $1,303.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.58 / $521.58 / $847.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,384.63 / $2,384.63 / $2,384.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.95 / $1,303.95 / $1,316.99
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,303.95 / $1,303.95 / $2,112.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.95 / $1,303.95 / $1,303.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.79 / $670.79 / $1,676.97