go back

Virginia 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 / $4,647.37 / $7,541.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.00 / $1,909.88 / $2,361.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,448.56 / $2,448.56 / $11,924.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.42 / $979.42 / $1,493.62
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,958.85 / $1,958.85 / $3,819.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.56 / $4,557.50 / $12,543.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.41 / $1,486.35 / $4,041.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,448.56 / $2,938.27 / $3,623.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$798.44 / $2,396.75 / $2,938.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.00 / $2,545.41 / $5,782.68
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,713.99 / $2,943.17 / $10,166.91
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,713.99 / $2,943.17 / $10,166.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.89 / $2,448.56 / $2,448.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.88 / $1,028.40 / $1,469.14