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Missouri 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
$2,398.83 / $4,073.80 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $2,089.30 / $3,090.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $8,511.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,000.00 / $3,801.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,479.11 / $2,570.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $4,677.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $3,715.35 / $5,888.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $2,344.23 / $3,548.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,691.53 / $11,748.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $1,258.93 / $12,302.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $2,454.71 / $2,951.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $1,230.27 / $2,630.27