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Wisconsin rates for HCPCS 0331U

Oncology (hematolymphoid neoplasia), optical genome mapping for copy number alterations and gene rearrangements utilizing DNA from blood or bone marrow, report of clinically significant alterations

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $5,128.61 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,513.56 / $2,238.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,691.53 / $10,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $6,025.60 / $9,549.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $5,128.61 / $5,754.40
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $7,762.47 / $11,748.98
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,220.18 / $11,220.18 / $12,302.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,398.83 / $6,456.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,122.02 / $9,332.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $64.57 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $4,365.16 / $6,165.95
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $8,912.51 / $8,912.51
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $9,332.54 / $9,332.54
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $3,981.07 / $3,981.07
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,232.93 / $10,232.93 / $10,232.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,479.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,122.02 / $3,090.30