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Arizona 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
$2,231.13 / $4,897.12 / $9,769.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.00 / $1,640.54 / $15,744.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,369.74 / $5,388.23 / $8,961.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,289.29 / $2,062.86 / $2,939.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.45 / $3,978.90 / $7,162.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.42 / $1,591.56 / $2,813.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,804.59 / $2,396.75 / $11,630.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.88 / $1,028.40 / $1,469.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.89 / $2,203.69 / $2,938.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.88 / $1,028.40 / $1,469.14