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North Carolina rates for HCPCS 81419

Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1, SYNGAP1, TCF4, TPP1, TSC1, TSC2, and ZEB2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,630.27 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,949.84 / $2,951.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $4,897.79 / $5,623.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,454.71 / $5,623.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $3,890.45 / $6,456.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,698.24 / $3,801.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $2,187.76 / $3,548.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,584.89
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,884.03 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,479.11 / $2,691.53
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $11,748.98 / $11,748.98
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,302.69 / $12,302.69 / $18,197.01