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Arizona rates for HCPCS 0215U

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, each comparator exome (eg, parent, sibling)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,128.61 / $13,182.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,949.84 / $2,511.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $3,981.07 / $5,888.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,570.40 / $4,897.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,949.84 / $7,244.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,570.40 / $4,786.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $12,882.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,570.40 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,548.82