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Wisconsin 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
$3,235.94 / $7,413.10 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,089.30 / $3,235.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $33.11 / $9,549.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $8,709.64 / $13,803.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $6,760.83 / $8,511.38
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $11,220.18 / $16,982.44
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,218.10 / $16,218.10 / $18,197.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,235.94 / $9,549.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,621.81 / $13,489.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $64.57 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $6,309.57 / $8,912.51
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $12,882.50 / $12,882.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $10,964.78 / $13,489.63
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,754.40 / $5,754.40 / $5,754.40
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,125.38 / $14,791.08 / $14,791.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $3,235.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,621.81 / $4,466.84