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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
$2,137.96 / $2,570.40 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,238.72 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,090.30
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,691.53 / $3,235.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,090.30 / $3,890.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,570.40 / $3,890.45