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Maine 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
$2,709.95 / $2,709.95 / $5,758.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.90 / $14.90 / $14.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.98 / $1,083.98 / $1,761.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,709.95 / $2,709.95 / $2,737.05
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,709.95 / $2,709.95 / $4,390.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.90 / $14.90 / $2,709.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,382.07 / $1,625.97 / $4,742.41