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Hawaii 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
$2,020.06 / $2,289.40 / $2,938.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.21 / $508.21 / $508.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,938.27 / $2,938.27 / $2,938.27
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,179.35 / $2,563.94 / $3,060.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,448.56 / $2,938.27 / $3,672.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.40 / $2,938.27 / $3,672.84
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,081.28 / $3,599.38 / $5,509.26