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Maine rates for HCPCS 0258U

Autoimmune (psoriasis), mRNA, next-generation sequencing, gene expression profiling of 50-100 genes, skin-surface collection using adhesive patch, algorithm reported as likelihood of response to psoriasis biologics

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,818.38 / $3,715.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $23,442.29 / $25,703.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,187.76 / $3,467.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $8,317.64 / $8,317.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $4,365.16
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,715.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,884.03 / $3,715.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,715.35 / $5,495.41