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Hawaii 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
$4,466.84 / $5,370.32 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $4,265.80 / $6,918.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,606.93 / $6,606.93 / $6,606.93
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $6,918.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,025.60 / $6,606.93 / $8,128.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $5,495.41 / $8,128.31