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Indiana rates for HCPCS 0205U

Ophthalmology (age-related macular degeneration), analysis of 3 gene variants (2 CFH gene, 1 ARMS2 gene), using PCR and MALDI-TOF, buccal swab, reported as positive or negative for neovascular age-related macular-degeneration risk associated with zinc supplements

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $74.13 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $38.02 / $43.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $141.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $54.95 / $85.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $676.08 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $67.61 / $141.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $28.18 / $46.77