go back

Rhode Island 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
$14,079.20 / $14,079.20 / $14,079.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.21 / $600.00 / $2,361.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.10 / $2,883.91 / $3,011.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,836.42 / $1,836.42 / $1,946.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.70 / $1,047.70 / $6,498.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.41 / $2,813.77 / $3,517.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.05 / $1,028.40 / $3,220.35