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New Hampshire 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
$508.20 / $3,301.20 / $17,139.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.21 / $508.21 / $1,909.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,027.88 / $4,739.92 / $11,067.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.42 / $1,591.56 / $1,797.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,529.58 / $10,041.32 / $10,569.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.41 / $2,813.77 / $10,174.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,448.56 / $3,553.84 / $8,065.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.10 / $1,469.14 / $1,469.14
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,809.14 / $2,489.38 / $3,426.51