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Ohio 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
$1,102.82 / $3,323.38 / $6,121.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.00 / $1,958.85 / $2,396.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,162.08 / $2,693.42 / $4,333.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.50 / $979.42 / $2,644.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,860.09 / $2,570.98 / $3,672.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,081.28 / $3,183.13 / $5,876.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.56 / $2,521.03 / $8,355.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.27 / $1,591.56 / $4,743.47
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.56 / $2,521.03 / $9,469.51
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.41 / $1,317.59 / $4,743.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,836.42 / $2,111.88 / $2,938.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.88 / $1,346.71 / $3,207.61