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New Jersey 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
$3,467.37 / $3,630.78 / $16,218.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,187.76 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $6,025.60 / $6,456.54
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,548.13 / $5,888.44
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $11,481.54 / $25,703.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,691.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,691.53 / $5,623.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,621.81 / $2,818.38