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Wisconsin rates for HCPCS 0169U

NUDT15 (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase) (eg, drug metabolism) gene analysis, common variants

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $371.54 / $446.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $281.84 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,513.56 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $1,174.90 / $1,445.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $1,949.84 / $2,951.21
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $3,090.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $562.34 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $281.84 / $2,344.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $58.88 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,096.48 / $1,548.82
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $2,238.72 / $2,238.72
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,862.09 / $2,344.23
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,570.40 / $3,548.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $281.84 / $776.25