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Vermont 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
Professional
Modifier
Low / Median / High Price
$508.21 / $508.21 / $15,744.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,448.56 / $2,448.56 / $2,448.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,098.27 / $4,098.27 / $4,098.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,813.77 / $3,517.21 / $5,501.77
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,098.27 / $4,098.27 / $4,098.27
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $2,813.77 / $5,501.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.26 / $1,069.53 / $5,657.15