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Alaska rates for HCPCS 81412

Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analysis panel, must include sequencing of at least 9 genes, including ASPA, BLM, CFTR, FANCC, GBA, HEXA, IKBKAP, MCOLN1, and SMPD1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,623.87 / $16,897.50 / $28,709.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.00 / $8,202.68 / $8,202.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,764.13 / $6,764.13 / $6,764.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,813.77 / $2,813.77 / $3,517.21
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,396.75 / $2,396.75 / $2,396.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,448.56 / $2,448.56 / $7,884.36
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,569.95 / $9,059.67 / $9,794.24
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.15 / $3,672.84 / $9,794.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,396.75 / $2,396.75 / $2,396.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.00 / $2,448.56 / $6,733.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.95 / $4,897.12 / $7,387.82