go back

New York 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
$2,238.72 / $5,128.61 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,041.74 / $2,630.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $2,630.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $3,801.89 / $9,772.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $13,182.57 / $13,182.57
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $4,466.84 / $10,471.29
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $3,311.31 / $5,248.07
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,691.53 / $4,786.30
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $5,128.61 / $50,118.72
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,691.53 / $3,235.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,621.81 / $3,548.13
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,691.53 / $3,090.30
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,691.53 / $5,370.32