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Minnesota 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
$2,301.65 / $2,301.65 / $2,301.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.40 / $600.00 / $2,361.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.36 / $453.74 / $2,448.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,958.85 / $2,448.56 / $2,448.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,930.46 / $9,004.16 / $21,487.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,841.91 / $3,573.49 / $4,752.82
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,881.64 / $8,165.98 / $16,918.98
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,813.77 / $2,813.77 / $4,447.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.69 / $4,529.84 / $11,630.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.07 / $1,559.73 / $5,616.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.07 / $1,665.02 / $5,616.75