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Idaho 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
$4,419.17 / $4,419.17 / $6,366.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,713.99 / $4,774.68 / $4,774.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,387.34 / $2,594.23 / $9,549.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,825.20 / $2,813.77 / $4,052.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,301.65 / $4,774.68 / $5,252.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,448.56 / $2,448.56 / $2,938.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,873.15 / $2,448.56 / $4,774.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,672.84 / $4,897.12 / $8,814.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,081.28 / $4,306.93 / $4,306.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.88 / $903.15 / $1,469.14