go back

New Mexico 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
$2,032.46 / $8,129.85 / $8,129.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,032.46 / $3,251.94 / $3,251.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,761.47 / $1,761.47 / $1,761.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,200.42 / $4,417.22 / $4,417.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,761.47 / $1,761.47 / $3,414.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,859.00 / $2,859.00 / $3,251.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.18 / $1,138.18 / $1,625.97