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Hawaii 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
$2,124.09 / $2,407.30 / $3,089.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,364.56 / $1,364.56 / $1,364.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,089.58 / $3,089.58 / $3,089.58
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,574.65 / $2,695.97 / $3,218.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,832.12 / $3,089.58 / $3,604.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,574.65 / $3,089.58 / $3,861.98