go back

Maine 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
$5,475.80 / $5,475.80 / $11,636.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,435.39 / $4,435.39 / $4,435.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,702.85 / $1,702.85 / $3,559.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,475.80 / $5,475.80 / $5,530.56
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,475.80 / $5,475.80 / $8,870.79
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,435.39 / $4,435.39 / $5,475.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,792.66 / $3,285.48 / $9,582.65