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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
$5,495.41 / $5,495.41 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,801.89 / $5,370.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,630.27 / $3,548.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $12,302.69 / $12,302.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $6,606.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $5,495.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $4,265.80 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $5,495.41 / $7,943.28