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Alaska rates for HCPCS 0265U

Rare constitutional and other heritable disorders, whole genome and mitochondrial DNA sequence analysis, blood, frozen and formalin-fixed paraffin-embedded (FFPE) tissue, saliva, buccal swabs or cell lines, identification of single nucleotide and copy number variants

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,442.29 / $42,657.95 / $67,608.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $5,128.61 / $5,370.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,135.61 / $15,135.61 / $15,135.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $26,302.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $17,782.79
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $20,417.38 / $21,877.62
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,302.69 / $12,302.69 / $12,302.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $15,135.61 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $10,964.78 / $16,595.87