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Wisconsin rates for HCPCS 81325

PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$923.50 / $1,154.36 / $1,716.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.58 / $731.10 / $1,169.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,654.60 / $2,000.91 / $2,116.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.83 / $769.58 / $3,296.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,880.78 / $1,880.78 / $1,954.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,117.63 / $2,474.62 / $3,796.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.23 / $2,072.32 / $2,354.91
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.58 / $923.50 / $2,693.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.62 / $923.50 / $2,693.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.79 / $461.75 / $2,373.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $384.79
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.58 / $923.50 / $2,693.53
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,463.46 / $1,876.56 / $2,573.60
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,539.16 / $3,655.51 / $3,655.51
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.89 / $3,847.90 / $3,847.90
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,638.85 / $1,638.85 / $1,638.85
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,236.56 / $4,201.91 / $4,201.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.58 / $769.58 / $769.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.22 / $461.75 / $1,616.12