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Wisconsin rates for HCPCS 81212

BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.00 / $660.00 / $981.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.80 / $418.00 / $660.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$946.00 / $1,144.00 / $1,210.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.00 / $176.26 / $1,760.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,117.59 / $1,164.93 / $1,164.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,211.10 / $1,415.27 / $2,171.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.51 / $1,184.83 / $1,346.40
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.80 / $528.00 / $1,540.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.00 / $528.00 / $1,540.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.76 / $264.00 / $1,356.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $220.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.80 / $528.00 / $1,540.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.46 / $1,048.97 / $1,471.25
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.00 / $2,090.00 / $2,090.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.00 / $2,200.00 / $2,200.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.26 / $133.26 / $937.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.26 / $133.26 / $2,402.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.02 / $264.00 / $682.00