BAYCARE CHARGE 10007165 APOLIPOPROTEIN E GENE ALZHEIMER RISK Insurance and Self Pay Discounts 310 81401 $515.00

The Apolipoprotein E (APOE) gene test is used to assess genetic risk for Alzheimer’s disease. This laboratory procedure analyzes your DNA to identify variants in the APOE gene associated with increased or decreased risk of developing Alzheimer’s. The listed fee typically covers the collection of the sample (blood or saliva), laboratory processing, and the genetic analysis itself. Costs can vary widely depending on your insurance, with self-pay discounts and insurer-negotiated rates available. To manage expenses, request a detailed, itemized estimate in advance and confirm what is included (e.g., pre-test counseling, sample collection, and post-test consultation).

Cost Breakdown

• Standard Fee: $515.00
• Self-Pay Discount: $472.74
• Lowest Observed Rate: $257.50
• Highest Observed Rate: $515.00
• Insurance Rates:
  • Aetna: $408.44–$429.50
  • Anthem Blue: $391.22–$437.75
  • Aurora Caregiver: $413.05
  • Cigna: $435.65–$515.00
  • Health EOS: $314.15–$412.00
  • HealthPartners: $386.25–$515.00
  • Humana: $435.65–$515.00
  • Quartz: $406.06–$448.94
  • UHC: $430.77–$467.47
  • WPS: $449.10–$472.74
  • Other plans: $358.90–$515.00

Associated Costs

• Pre-test genetic counseling (if recommended or required)
• Follow-up appointment to discuss results
• Repeat or confirmatory testing, if results are inconclusive
• Additional lab fees (rare, but possible)

Insurance & Payment Advice

• Verify with your insurer if APOE testing is considered medically necessary and covered.
• Ask if prior authorization or a physician referral is required.
• Request all potential charges in writing before proceeding.
• If uninsured, inquire about payment plans or financial assistance.

Side-Effect Considerations

• No physical side effects from the DNA testing itself (typically a blood draw or saliva sample).
• Possible emotional impact from learning about your genetic risk; consider genetic counseling for support.

Recovery & Preparation Tips

• Follow any pre-test instructions (e.g., fasting if blood is drawn).
• Prepare questions for your healthcare provider regarding implications of results.
• Seek out genetic counseling for help interpreting the results and planning next steps.

Frequently Asked Questions

What is the APOE gene test used for?

This test checks for genetic variants in the APOE gene that can influence your risk of developing Alzheimer’s disease.

Does insurance usually cover this test?

Coverage varies; some insurers require medical justification or prior authorization. Check with your provider for details.

Are there risks or side effects?

The physical risks are minimal (typically just a blood draw or saliva sample). There can be emotional impacts from learning about your risk.

How long does it take to get results?

Results are typically available within 1 to 3 weeks, depending on the laboratory’s processing time.

What does the fee include?

The fee usually covers sample collection, laboratory analysis, and reporting. Pre- or post-test counseling may be extra.

Can I get a discount if I pay out of pocket?

Yes, self-pay discounts are often available. Ask the billing office about reduced rates or payment plans.

Will my results be confidential?

Yes, genetic test results are protected by privacy laws, but you should ask about how your information is handled and who has access.

Should I seek genetic counseling?

It is recommended, especially if you have a family history of Alzheimer’s or concerns about the implications of your results.

Are there alternatives to APOE testing?

Other genetic or biomarker tests exist, but APOE is the most common for assessing Alzheimer’s risk. Discuss options with your provider.

What if my insurance denies coverage?

You can appeal the decision, seek financial assistance, or inquire about self-pay or charity care options.

Aurora BAYCARE
CHARGE
10007165
APOLIPOPROTEIN E GENE ALZHEIMER RISK
Rev 310
CPT 81401
NDC NA

Fee $515.00

Self-Pay $472.74
Minimum $257.50
Maximum $515.00

Insurance
Aetna W $408.44
Aetna PPO $429.50
Anthem Blue Priority $391.22
Anthem Blue Preferred $391.22
Anthem PPO $437.75
Aurora Caregiver $413.05
Centivo $484.98
Cigna GPPO $515.00
Cigna PPO $435.65
Common Ground ETF Network $396.88
Common Ground Exchange Envision $396.88
Common Ground Group Envision $396.88
Everpointe Elite $358.90
Health EOS Plus $314.15
Health EOS PPO $412.00
HealthPartners ETF $451.89
HealthPartners Robin Focused $515.00
HealthPartners Broad $386.25
HPS $515.00
HST $482.43
Humana HPN $515.00
Humana HMO $515.00
Humana PPO $435.65
Molina Exchange $417.83
Quartz One $406.06
Quartz Group $448.94
Trilogy $515.00
UHC Individual Exchange $430.77
UHC Charter $430.77
UHC Nexus $430.77
UHC HMO $467.47
UHC PPO $435.69
WPS Aurora Featured Network $449.10
WPS Arise $472.74
WPS Statewide $472.74