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Arizona rates for HCPCS 0212U

Rare diseases (constitutional/heritable disorders), whole genome and mitochondrial DNA sequence analysis, including small sequence changes, deletions, duplications, short tandem repeat gene expansions, and variants in non-uniquely mappable regions, blood or saliva, identification and categorization of genetic variants, proband

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $10,964.78 / $28,183.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $4,168.69 / $5,370.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $8,511.38 / $12,589.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $5,370.32 / $10,471.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $4,168.69 / $15,135.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $5,495.41 / $10,000.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $27,542.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $5,495.41 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $3,311.31