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Wisconsin 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
$14,454.40 / $14,454.40 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $4,168.69 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,905.46 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $16,982.44 / $26,915.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,025.60 / $13,182.57 / $16,218.10
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $21,877.62 / $33,113.11
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31,622.78 / $31,622.78 / $34,673.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $6,309.57 / $18,197.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,162.28 / $26,302.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $64.57 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,511.38 / $12,302.69 / $17,378.01
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $24,547.09 / $24,547.09
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,585.78 / $20,892.96 / $26,302.68
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,220.18 / $11,220.18 / $11,220.18
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27,542.29 / $28,840.32 / $28,840.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $4,168.69 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,162.28 / $8,709.64