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Unit Code 81013:
Familial Hypercholesterolemia, LDLR Full Gene Sequencing

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List Fee

$1,350.00

The following test(s) will be added at an additional charge:

$150.00 for #26968 "DNA Extraction, AutoPure"

 

$1,500.00 = Total List Fee

Test Classification

This test was developed and its performance characteristics

determined by Laboratory Medicine and Pathology, Mayo Clinic.

This test has not been cleared or approved by the U.S. Food

and Drug Administration.

CPT Code Information

"Familial Hypercholesterolemia, LDLR Full Gene Sequencing"

83892/x8 Enzymatic digestion

83894/x8 Separation by gel electrophoresis

83898/x3 Amplification, target, each nucleic acid sequence

83900/Amplification, target, multiplex, first 2 nucleic acid sequences

83901/x6 Amplification, target, multiplex, each additional nucleic acid

sequence beyond 2

83912/Interpretation and report

 

"LDLR Gene Sequencing"

83909/x32

 

"DNA Extraction, AutoPure"

83891

Key