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North Dakota 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
$1,713.99 / $1,713.99 / $4,407.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.00 / $600.00 / $2,361.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,131.95 / $4,933.85 / $5,536.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,813.77 / $2,841.91 / $3,573.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,371.19 / $1,860.91 / $5,141.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.07 / $1,028.40 / $4,897.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.07 / $1,028.40 / $3,550.41