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Maine 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
$5,475.20 / $5,475.20 / $11,634.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.20 / $583.20 / $583.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,190.08 / $2,190.08 / $3,558.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,475.20 / $5,475.20 / $5,529.95
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,475.20 / $5,475.20 / $8,869.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.20 / $583.20 / $5,475.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,792.35 / $3,285.12 / $9,581.60