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Indiana 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
$6,309.57 / $8,511.38 / $20,417.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $4,365.16 / $5,370.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $16,595.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $3,548.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $79,432.82 / $120,226.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $21,379.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $6,606.93 / $16,595.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $5,495.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,311.31 / $5,495.41