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Utah 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
$508.21 / $2,663.02 / $3,491.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.21 / $1,811.93 / $2,595.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,092.90 / $2,152.55 / $6,746.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.35 / $2,813.77 / $4,480.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,448.56 / $2,815.84 / $9,916.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.05 / $2,407.94 / $2,935.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.88 / $1,028.40 / $1,469.14