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Idaho 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
$4,677.35 / $4,677.35 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,398.83 / $5,011.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,786.30 / $9,332.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,630.27 / $2,630.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,370.32 / $10,000.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $5,011.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,691.53 / $3,090.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $4,786.30 / $9,332.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,691.53
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $2,570.40