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North Carolina 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
$970.59 / $1,958.85 / $2,105.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.02 / $1,713.99 / $2,396.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.65 / $1,768.65 / $4,147.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.78 / $1,451.06 / $3,721.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.60 / $1,935.34 / $6,428.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.86 / $1,152.52 / $3,567.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.10 / $1,958.85 / $2,570.98
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.10 / $1,500.00 / $2,448.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,591.56 / $2,448.56 / $4,688.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.10 / $722.52 / $2,889.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.05 / $963.36 / $1,713.99
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,917.70 / $11,630.66 / $11,630.66
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,242.80 / $12,242.80 / $18,364.20