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Seq CPT Codes & Pricing

 

Adams-Oliver syndrome Sequencing (ARHGAP31, DOCK6, RBPJ, EOGT, DLL4, NOTCH1)

Panel CPT Code: 81407 Cost: $3000.00

Pricing per gene:

ARHGAP31 CPT Code: 81479 Cost: $500.00

DOCK6 CPT Code: 81479 Cost: $500.00

RBPJ CPT Code: 81479 Cost: $500.00

EOGT CPT Code: 81479 Cost:$500.00

DLL4 CPT Code: 81479 Cost: $500.00

NOTCH1 CPT Code: 81407 Cost: $500.00

Angelman syndrome Sequencing (UBE3A)

CPT Code: 81406 Cost: $1350.00

Bartter syndrome Antenatal Type 1 or Type 2 Sequencing Panel (SLC12A1 or KCNJ1)

Panel CPT Codes: 81404, 81407 Cost: $2860.00

Pricing per gene:

KCNJ1 CPT Code: 81404 Cost: $1430.00

SLC12A1 CPT Code: 81407 Cost: $1430.00

Bernard-Soulier syndrome (Giant Platelet) Type B Sequencing (GP1BB)

CPT Code: 81403 Cost: $396.00

Beta-thalassemia Sequencing/Hemoglobin SS (HBB)

CPT Code: 81404 Cost: $530.00

Biotinidase deficiency Sequencing (BTD)

CPT Code: 81404 Cost: $863.00

Cardiofaciocutaneous syndrome Sequencing Panel (MAP2K1, MAP2K2, BRAF, KRAS, SHOC2)

Panel CPT Codes: 81406x3,81405x2 Cost: $4257.00

Pricing per gene:

MAP2K1 CPT Code: 81406 Cost: $1100.00

MAP2K2 CPT Code: 81406 Cost: $1100.00

BRAF CPT Code: 81406 Cost: $1089.00

KRAS CPT Code: 81405 Cost: $528.00

SHOC2 CPT Code: 81405 Cost: $440.00

CHARGE syndrome Sequencing (CHD7)

CPT Code: 81407 Cost: $1870.00

Cockayne syndrome-A Sequencing (ERCC8)

CPT Code: 81479 Cost: $1350.00

Costello syndrome Sequencing (HRAS)

CPT Code: 81404 Cost: $620.00

Cystic Fibrosis Sequencing (CFTR)

CPT Code: 81223 full gene sequence Cost: $1430.00

CPT Code: 81221 known familial variant Cost: $396.00

CPT Code: 81224 intron 8 poly-T region (male infertility) Cost: $396.00

Early Childhood Non-Syndromic Hearing Loss and Deafness (GJB2 or GJB6)

Panel CPT Codes: 81252, 81254 Cost: $836.00

Pricing per gene:

GJB2 CPT Code: 81252 Cost: $440.00

GJB6 CPT Code: 81254 Cost: $396.00

Ehlers-Danlos syndrome Sequencing (CHST14)

CPT Code: 81479 Cost: $620.00

Familial Hypercholesterolemia (LDLR)

CPT Code: 81406 Cost: $1166.00

Galactosemia Type 1 Sequencing (GALT)

CPT Code: 81406 Cost: $535.00

Glutaric Acidemia Type 1 (GCDH)

CPT Code: 81406 Cost: $863.00

Hamartoma Tumor syndrome Sequencing (PTEN)

CPT Code: 81321 Cost: $880.00; 81322 known familial variant Cost: $396.00

Hereditary Breast and Ovarian Cancer (BRCA1 or BRCA2)

Panel CPT Code: 81211 full gene sequence Cost: $3080.00

Pricing per gene:

BRCA1 CPT Code: 81214 Cost: $1540.00

BRCA1 CPT Code: 81215 known familial variant Cost: $396.00

BRCA2 CPT Code: 81216 Cost: $1540.00

BRCA2 CPT Code: 81217 known familial variant Cost: $396.00

Hereditary and Idiopathic Chronic Pancreatitis Panel (CFTR, CTRC, PRSS1, SPINK1)

Panel CPT Codes: 81404x2,81223,81479 Cost: $3370.00

Pricing per gene:

PRSS1 CPT Code: 81404 Cost: $620.00

CFTR CPT Code: 81223 Cost: $1430.00

CTRC CPT Code: 81479 Cost: 770.00

SPINK1 CPT Code: 81404 Cost: $550.00

Hereditary Leiomyomatosis & Renal Cell Cancer Sequencing (FH)

CPT Code: 81405 Cost: $1075.00

Hereditary Multiple Osteochondromas Type 1 or Type 2 Sequencing ( EXT1 or EXT2)

Panel CPT Codes: 81479x2 Cost: $1672.00

Pricing per gene:

CPT Code: 81479 Cost: $836.00 each test

Hereditary Non-Polyposis Colon Cancer/ Lynch syndrome Sequencing Panel

Panel CPT Codes: 81292, 81295, 81298, 81479 Cost: $3300.00

Pricing per gene:

MLH1 CPT Code: 81292 Cost: $825.00

MLH1 CPT Code: 81293 known familial variant Cost: $396.00

MSH2 CPT Code: 81295 Cost: $825.00

MSH2 CPT Code: 81296 known familial variant Cost: $396.00

MSH6 CPT Code: 81298 Cost: $825.00

MSH6 CPT Code: 81299 known familial variant Cost: $396.00

EPCAM CPT Code: 81479 Cost: $825.00 known familial variant Cost: $396.00

Hereditary Papillary Renal Carcinoma Sequencing (C-MET)

CPT Code: 81479 Cost: $1100.00

Infantile Epilepsy

Panel CPT Codes: 81407 Cost: $4290.00

Pricing per gene:

CDKL5 CPT Code: 81406 Cost: $550.00

KCNQ2 CPT Code: 81406 Cost: $550.00

KCNQ3 CPT Code: 81479 Cost: $550.00

SCN1A CPT Code: 81407 Cost: $770.00

SCN2A CPT Code: 81479 Cost: $770.00

SLC2A1 CPT Code: 81405 Cost: $550.00

STXBP1 CPT Code: 81406 Cost: $550.00

Isovaleric Acidemia

CPT Code: 81406 Cost: $946.00

Kabuki syndrome Sequencing (MLL2)

CPT Code: 81479 Cost: $2569.00

Liddle syndrome Sequencing (SCNN1B, SCNN1G)

CPT Code: 81406x2 Cost: $1815.00

Pricing per gene:

SCNN1B CPT Code: 81406 Cost $957.00

SCNN1G CPT Code: 81406 Cost: $858.00

Li-Fraumeni syndrome Sequencing (TP53)

CPT Code: 81405 Cost: $1320.00

Marfan syndrome Sequencing (FBN1)

CPT Code: 81408 Cost: $1595.00

Marinesco-Sjogren syndrome Sequencing (SIL1)

CPT Code: 81479 Cost: $1350.00

MCAD Sequencing (ACADM)

CPT Code: 81479 Cost: $863.00

Malignant Melanoma P16 Sequencing (CDKN2A)

CPT Code: 81404 Cost: $620.00

MODY Sequencing Panel (HNF4A, GCK, HNF1A, PDX1, HNF1B, NEUROD1)

Panel CPT Codes: 81407 Cost: $3300.00

Pricing per gene:

HNF4A CPT Code: 81406 Cost: $550.00

GCK CPT Code: 81406 Cost: $550.00

HNF1A CPT Code: 81405 Cost: $550.00

PDX1 CPT Code: 81406 Cost: $550.00

HNF1B CPT Code: 81405 Cost: $550.00

NEUROD1 CPT Code: 81479 Cost: $550.00

Multiple Endocrine Neoplasia Type 1 and Type 2 Sequencing (MEN1, RET)

Panel CPT Codes: 81405x2 Cost: $1474.00

Pricing per gene:

MEN1 CPT Code: 81405 Cost: $825.00

RET CPT Code: 81405 Cost: $649.00

Neurofibromatosis (NF1, NF2)

NF1 CPT Code: 81408 Cost: $1320.00 reflex to SPRED1 CPT Code: 81405 Cost: $440.00

NF2 CPT Code: 81406 Cost: $1210.00

Niemann-Pick disease Type C1 or Type C2 Sequencing (NPC1 or NPC2)

Panel CPT Codes: 81406, 81404 Cost: $2200.00

Pricing per gene:

NPC1 CPT Code: 81406 Cost: $1100.00

NPC2 CPT Code: 81404 Cost: $1100.00

Noonan syndrome Sequencing Panel (PTPN11, SOS1, KRAS, RAF1, NRAS)

Panel CPT Codes: 81406x4, 81405, 81479 Cost: $4532.00

Pricing per gene:

PTPN11 CPT Code: 81406 Cost: $935.00

SOS1 CPT Code: 81406 Cost: $935.00

BRAF CPT Code: 81406 Cost: $1089.00

KRAS CPT Code: 81405 Cost: $528.00

RAF1 CPT Code: 81406 Cost: $330.00

NRAS CPT Code: 81479 Cost: $715.00

Pancreatic Cancer Sequencing (PALB2)

CPT Code: 81406 Cost: $825.00

Paraganglioma genes Sequencing Panel: SDHB, SDHD, SDHC, SDHAF2, SDHA, MAX

Panel CPT Codes: 81404, 81405x2,81479x3 Cost: $3575.00

Pricing per gene:

SDHB CPT Code: 81405 Cost: $660.00

SDHD CPT Code: 81404 Cost: $385.00

SDHC CPT Code: 81405 Cost: $660.00

SDHAF2 CPT Code: 81479 Cost: $605.00

SDHA CPT Code: 81479 Cost: $495.00

MAX CPT Code: 81479 Cost: $770.00

Polyposis of the Colon Sequencing

MUTYH Associated Polyposis Sequencing

CPT Code: 81406 Cost: $869.00

Familial Adenomatous Polyposis Sequencing (APC)

CPT Code: 81201 Cost: $1107.00 ; 81202 known familial variant Cost: $396.00

Juvenile Polyposis Sequencing (SMAD4, BMPR1A)

Panel CPT Codes: 81406, 81479 Cost: $1606.00

SMAD4 CPT Code: 81406 Cost: $847.00

BMPR1A CPT Code: 81479 Cost: $759.00

Renal Tubular Acidosis Sequencing Panel(ATP6V0A4, ATP6V1B1, SLC4A1, SLC4A4, or CA2)

Panel CPT Codes: 81479x5 Cost: $5885.00

Pricing per gene:

ATP6V1B1 CPT Code: 81479 Cost: $1320.00

APT6V0A4 CPT Code: 81479 Cost: $1320.00

SLC4A1 CPT Code: 81479 Cost: $1210.00

SLC4A4 CPT Code: 81479 Cost: $1210.00

CA2 CPT Code: 81479 Cost: $825.00

Rett syndrome Sequencing (MECP2)

CPT Code: 81302 Cost: $863.00; 81303 known familial variant Cost: $396.00

SCAD Sequencing (ACADS)

CPT Code: 81405 Cost: $803.00

Sotos syndrome Sequencing (NSD1)

CPT Code: 81406 Cost: $1595.00

SPRED1/Leguis syndromeSequencing

CPT Code: 81405 Cost: $440.00

Transient Myeloproliferative Disorder (TMD) Sequencing (GATA1)

CPT Code: 81479 Cost: $616.00

VLCAD Sequencing (ACADVL)

CPT Code: 81406 Cost: $863.00

Von Hippel-Lindau syndrome Sequencing (VHL)

CPT Code: 81404 Cost: $396.00

Williams syndrome Sequencing (ELN)

CPT Code: 81479 Cost: $1350.00

Wilson disease Sequencing (ATP7B)

CPT Code: 81406 Cost: $1350.00

 

 

 

 

 

 

 

 

 

 

 

 

 

Contact Information
Genetics Laboratory
University of Oklahoma Health Sciences Center
1122 NE 13 Street, Suite 1400, Oklahoma City, OK 73104
Phone: (405) 271-3589 |Fax: (405) 271-7117 Email: Dr. Shibo Li

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