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Nebraska 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
$1,737.80 / $6,456.54 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,862.09 / $16,218.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,513.56 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $3,801.89 / $3,981.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $4,677.35 / $5,888.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,621.81 / $11,748.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $1,479.11 / $2,691.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $6,309.57 / $6,309.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $6,309.57 / $6,309.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,187.76 / $3,715.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $1,479.11 / $2,187.76