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Dystrophin Gene Analysis For Muscular Dystrophy

Wisconsin rates for HCPCS 0218U

Looks for changes in the DMD gene, the cause of Duchenne and Becker muscular dystrophy, in someone with muscle weakness that may be inherited. This single gene is read in full, including stretches that are difficult to read accurately, and both missing and duplicated sections of the gene are detected. Blood or saliva can be used.

Rates data updated June 2026.

Facilitymedian $6,310 · 10th–90th $2,042$11,2200%20%10th90th$6,310Professionalmedian $1,950 · 10th–90th $794$7,0790%10%10th90th$1,950$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$6,309.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,778.28
Typical High
$2,187.76
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$794.33
Typical High
$7,943.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$7,413.10
Typical High
$11,748.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$5,754.40
Typical High
$7,079.46
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$9,549.93
Typical High
$14,454.40
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$13,803.84
Median
$13,803.84
Typical High
$15,135.61
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,754.23
Typical High
$7,943.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,380.38
Typical High
$7,079.46
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$2,290.87
Network Health
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,754.23
Typical High
$6,606.93
Network Health
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,630.78
Typical High
$5,370.32
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$5,370.32
Typical High
$7,585.78
Quartz
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$10,715.19
Typical High
$10,715.19
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$9,120.11
Typical High
$11,220.18
Security Health
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
Security Health
Setting
Professional
Modifier
Global
Typical Low
$6,606.93
Median
$12,302.69
Typical High
$17,378.01
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,819.70
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,380.38
Typical High
$3,467.37