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Unit Code 82970:
Uniparental Disomy

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List Fee

$299.90

 

For Amniotic Fluid specimens, the following test will be added at

an additional charge:

$507.40 for #80334 "Amniotic Fluid Culture for Genetic Testing"

 

$807.30 =Total List Fee

 

For Chorionic Villus specimens, the following test will be added at

an additional charge:

$225.30 for #80333 "Fibroblast Culture for Genetic Testing"

 

$525.20 =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

"Uniparental Disomy"

83891/Isolation or extraction of highly purified nucleic acid

83900/x3 Amplification, target, multiplex, first 2 nucleic acid sequences

83909/Separation and identification by high-resolution technique

83912/Interpretation and report

 

"Amniotic Fluid Culture for Genetic Testing"

88235/Tissue culture for amniotic fluid (if appropriate)

88240/Cryopreservation (if appropriate)

 

"Fibroblast Culture for Genetic Testing"

88233/Tissue culture, skin or solid tissue biopsy (if appropriate)

88240/Cryopreservation (if appropriate)

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