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New Mexico 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
$1,836.42 / $3,672.84 / $7,345.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,836.42 / $2,938.27 / $15,744.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,301.90 / $2,002.92 / $2,448.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.56 / $1,591.56 / $1,591.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,193.76 / $2,813.77 / $3,517.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,346.71 / $3,795.27 / $3,991.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521.97 / $2,326.13 / $2,938.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.47 / $2,815.84 / $3,403.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,448.56 / $2,448.56 / $2,448.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.88 / $252.88 / $1,469.14