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Arizona 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
$4,265.80 / $10,964.78 / $28,183.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $4,168.69 / $5,370.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $7,413.10 / $11,220.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $4,786.30 / $9,120.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,265.80 / $11,748.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $5,495.41 / $10,471.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $27,542.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $5,495.41 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $3,311.31