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New Mexico 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
$8,128.31 / $18,197.01 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $4,168.69 / $5,495.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $3,548.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,511.38 / $8,511.38 / $11,748.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $6,918.31 / $16,218.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,754.40 / $6,025.60 / $6,025.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $3,311.31