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Wyoming 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
$2,448.56 / $2,448.56 / $2,448.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.00 / $600.00 / $2,448.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.63 / $752.63 / $903.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,060.70 / $3,795.00 / $7,835.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,896.89 / $4,896.89 / $4,896.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,813.77 / $3,517.21 / $5,264.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.88 / $1,028.40 / $1,811.93