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Louisiana 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
$2,595.46 / $3,374.11 / $12,003.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.00 / $2,595.46 / $3,183.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,266.63 / $4,313.14 / $6,496.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.09 / $2,689.66 / $3,525.93
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $2,448.56 / $2,448.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,082.13 / $2,754.14 / $11,379.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $2,289.46 / $4,750.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.26 / $361.26 / $361.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.88 / $933.26 / $1,551.02