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Maine rates for HCPCS 0214U

Rare diseases (constitutional/heritable disorders), whole exome 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, proband

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $3,467.37 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,511.89 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $11,748.98 / $11,748.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $6,309.57
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $5,248.07
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $3,467.37 / $5,011.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $5,248.07 / $7,585.78