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Wisconsin 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
$15,135.61 / $15,135.61 / $15,135.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $4,365.16 / $5,370.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,135.61 / $17,782.79 / $28,183.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $13,803.84 / $16,982.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $22,908.68 / $34,673.69
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33,113.11 / $33,113.11 / $36,307.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $6,606.93 / $19,054.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,311.31 / $27,542.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $64.57 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,912.51 / $12,882.50 / $18,197.01
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $26,302.68 / $26,302.68
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,943.28 / $21,877.62 / $27,542.29
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,748.98 / $11,748.98 / $11,748.98
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30,199.52 / $30,199.52 / $30,199.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,311.31 / $9,120.11