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Massachusetts 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
$1,819.70 / $5,754.40 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,041.74 / $2,511.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $6,918.31 / $12,302.69
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,570.40 / $9,772.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,995.26 / $4,168.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,715.35
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $4,365.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $4,168.69
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $6,918.31 / $12,302.69
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,570.40 / $9,772.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,570.40 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,995.26 / $4,466.84