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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
$5,224.60 / $5,224.60 / $11,102.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.99 / $13.99 / $13.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.84 / $2,089.84 / $3,395.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,224.60 / $5,224.60 / $5,276.85
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,224.60 / $5,224.60 / $8,463.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.99 / $13.99 / $5,224.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,664.55 / $3,134.76 / $7,836.90