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Vermont rates for HCPCS 81176

ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis (eg, exon 12)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $223.87 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $316.23 / $446.68
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $302.00 / $660.69