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Massachusetts rates for HCPCS 0213U

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, each comparator genome (eg, parent, sibling)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $6,165.95 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,041.74 / $2,570.40
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $7,244.36 / $12,882.50
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,691.53 / $10,232.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,137.96 / $4,365.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $3,981.07
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $4,570.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $4,365.16
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $7,244.36 / $12,882.50
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,691.53 / $10,232.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $2,691.53 / $3,235.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,089.30 / $4,786.30