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Pennsylvania rates for HCPCS 0267U

Rare constitutional and other heritable disorders, identification of copy number variations, inversions, insertions, translocations, and other structural variants by optical genome mapping and whole genome sequencing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,728.43 / $23,587.70 / $28,185.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,043.60 / $5,458.86 / $5,728.43
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,256.68 / $5,256.68 / $5,256.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,511.97 / $8,761.12 / $22,364.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32,483.57 / $32,483.57 / $32,483.57
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,076.30 / $9,098.10 / $16,646.15
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,504.24 / $23,254.70 / $28,185.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,423.02 / $5,728.43 / $27,833.40
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,974.20 / $10,109.00 / $13,478.66
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,511.97 / $8,761.12 / $22,364.48
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32,483.57 / $32,483.57 / $32,483.57
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,739.33 / $6,739.33 / $6,739.33
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,739.33 / $6,739.33 / $6,739.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,830.52 / $2,830.52 / $2,830.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,830.52 / $4,043.60 / $8,998.35