CPT CODES AND PRICING FOR SEQUENCING

 
Angelman syndrome Sequencing (UBE3A)

CPT Code: 81406 Cost: $1193.00

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

CPT Code: 81479 Cost: $1623.00 each test. If sequencing both genes total cost $3203.00

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

CPT Code: 81403 Cost: $333.00

Beta-thalassemia Sequencing/Hemoglobin SS (HBB)

CPT Code: 81404 Cost: $468.00

Biotinidase deficiency Sequencing (BTD)

CPT Code: 81404 Cost: $763.00

Cardiofaciocutaneous syndrome Sequencing (MAP2K1 or MAP2K2 or BRAF or SHOC2)

MAP2K1 CPT Code: 81406 Cost: $1408.00

MAP2K2 CPT Code: 81406 Cost: $1408.00

BRAF CPT Code: 81406 Cost: $1408.00

SHOC2 CPT Code: 81405 Cost: $1193.00

 If sequencing all genes associated with CFC total cost $5288.00

CHARGE syndrome Sequencing (CHD7)

CPT Code: 81407 Cost: $2268.00

Cockayne syndrome-A Sequencing (ERCC8)

CPT Code: 81479 Cost: $1193.00

Connexin 26 Sequencing Nonsyndromic Hearing Loss and Deafness (GJB2)

CPT Code: 81252 Cost: $468.00

Connexin 30 Sequencing Nonsyndromic Hearing Loss and Deafness (GJB6)

CPT Code: 81254 Cost: $333.00

Costello syndrome Sequencing (HRAS)

CPT Code: 81404 Cost: $548.00

Cystic Fibrosis Sequencing (CFTR)

CPT Codes: 81223 full gene sequence Cost: $1623.00/ 81221 known familial variant Cost: $333.00

Ehlers-Danlos syndrome Sequencing (CHST14)

CPT Code: 81479 Cost: $548.00

Familial Adenomatous Polyposis Sequencing (APC)

CPT Codes: 81201 full gene sequence Cost: $978.00/ 81202 known familial variant Cost: $333.00

Galactosemia Type 1 Sequencing (GALT)

CPT Code: 81406 Cost: $473.00

Hamartoma Tumor syndrome Sequencing (PTEN)

CPT Code: 81321 full gene sequence Cost: $978.00/ 81322 known familial variant Cost: $333.00

Hereditary Breast and Ovarian Cancer (BRCA1 or BRCA2) confirmation testing of known mutation for family members of affected person

CPT Codes: BRCA1 81215 Cost: $333.00/ BRCA2 81217 Cost: $333.00

Hereditary Leiomyomatosis & Renal Cell Cancer Sequencing (FH)

CPT Code: 81405 Cost: $1193.00

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

CPT Code: 81479  Cost: $738.00 each test. If sequencing both genes total cost $1278.00.

Hereditary Non-Polyposis Colon Cancer/ Lynch syndrome Sequencing (MLH1, MSH2 or MSH6)

MLH1 CPT Code: 81292 Cost: $1133.00

MSH2 CPT Code: 81295 Cost: $1133.00

MSH6 CPT Code: 81298 Cost: $1133.00
 
If sequencing all three genes total cost $3313.00

Hereditary Papillary Renal Carcinoma (C-MET)

CPT Code: 81479 Cost: $2268.00

Juvenile Polyposis Sequencing (SMAD4)

CPT Code: 81479 Cost: $978.00

Kabuki syndrome Sequencing (MLL2)

CPT Code: 81479 Cost: $2268.00 
  
Liddle syndrome Sequencing (SCNN1B or SCNN1G)

CPT Code: 81479 Cost: $1193.00 each test. If sequencing both genes total cost $2343.00

Li-Fraumeni syndrome Sequencing (TP53)

CPT Code: 81405 Cost: $1193.00

Marfan syndrome Sequencing (FBN1)

CPT Code: 81408 Cost: $1408.00

Marinesco-Sjogren syndrome Sequencing (SIL1)

CPT Code: 81479 Cost: $1193.00

MCAD Sequencing (ACADM)

CPT Code: 81479 Cost: $763.00

Melanoma P16 (CDKN2A)

CPT Code: 81404 Cost: $548.00

Multiple Endocrine Neoplasia Type 1 Sequencing (MEN1)

CPT Code: 81405 Cost: $763.00

Multiple Endocrine Neoplasia Type 2 Sequencing (RET)

CPT Code: 81405 Cost: $978.00

MUTYH Associated Polyposis Sequencing

CPT Code: 81406 Cost: $978.00

Neurofibromatosis 1 Sequencing (NF1)

CPT Code: 81408 Cost: $1193.00 

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

CPT Code: 81479 Cost: $1623.00 each test. If sequencing both genes total cost $3203.00.

Noonan syndrome Sequencing

PTPN11 CPT Code: 81406 Cost: $1193.00

SOS1 CPT Code: 81406 Cost: $1193.00

KRAS
CPT Code: 81405 Cost: $763.00

NRAS CPT Code: 81404 Cost: $1193.00

RAF1 CPT Code: 81406 Cost: $333.00

If sequencing all genes related to Noonan syndrome total cost $4503.00

Pancreatic Cancer (PALB2)

CPT Code: 81406 Cost: $1408.00

Paraganglioma genes: SDHB or SDHD or SDHC or SDHAF2

SDHB CPT Code: 81405 Cost: $763.00

SDHD CPT Code: 81404 Cost: $333.00

SDHC CPT Code: 81405 Cost: $763.00

SDHAF2 CPT Code: 81479 Cost: $548.00

If sequencing all genes related to Paraganglioma total cost $2278.00

Related Hereditary Pancreatitis Sequencing (PRSS1)

CPT Code: 81404 Cost: $548.00

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

ATP6V1B1 CPT Code: 81479 Cost: $1193.00

APT6V0A4 CPT Code: 81479 Cost: $1193.00

SLC4A1 CPT Code: 81479 Cost: $1623.00

SLC4A4 CPT Code: 81479 Cost: $1623.00

CA2 CPT Code: 81479 Cost: $763.00

If sequencing all genes related to RTA total cost $6223.00

Rett syndrome Sequencing (MECP2)

CPT Code: 81302 full gene sequence Cost: $763.00; 81303 known familial variant Cost: $333.00 

SCAD Sequencing (ACADS)

CPT Code: 81405 Cost: $763.00

Sotos syndrome Sequencing (NSD1)

CPT Code: 81406 Cost: $1408.00

SPRED1/Legius syndrome Sequencing

CPT Code: 81405 Cost: $763.00

VLCAD Sequencing (ACADVL)

CPT Code: 81406 Cost: $763.00

Von Hippel-Lindau syndrome Sequencing (VHL)

CPT Code: 81404 Cost: $333.00

Williams syndrome Sequencing (ELN)

CPT Code: 81479 Cost: $1193.00

Wilson disease Sequencing (ATP7B)

CPT Code: 81406 Cost: $1193.00

Genetics Laboratory Location: 1122 NE 13 Street, Suite 1400, Oklahoma City, OK 73117
Campus address: ORB 1400
Phone: 405-271-3589 Fax: 405-271-7117