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Indiana 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
$2,007.82 / $2,815.84 / $9,035.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.00 / $2,007.82 / $2,361.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,934.36 / $2,191.46 / $7,345.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.00 / $979.42 / $1,481.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,448.56 / $2,938.27 / $3,427.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,448.56 / $2,815.84 / $3,550.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.56 / $2,448.56 / $5,696.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.27 / $2,813.77 / $3,550.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.26 / $1,028.40 / $2,690.97