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Indiana 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
$2,951.21 / $3,981.07 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,089.30 / $2,511.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $7,762.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $4,786.30 / $7,244.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $37,153.52 / $56,234.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $3,715.35 / $7,762.47
United
Facility/Professional
Facility
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 / $1,548.82 / $2,570.40