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Genetic Test For Hemophilia B

Georgia rates for HCPCS 81238

A laboratory test that examines the gene for clotting factor nine, the blood protein that is missing or not working properly in hemophilia B. Identifying the specific change confirms the diagnosis, helps predict how severe the bleeding tendency is likely to be, and lets relatives be tested for the same change. It is run on a blood sample sent to a specialized genetics laboratory.

Rates data updated July 2026.

Facilitymedian $692 · 10th–90th $468$1,0960%20%10th90th$692Professionalmedian $525 · 10th–90th $251$1,0000%20%10th90th$525$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$812.83
Typical High
$1,698.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$512.86
Typical High
$660.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$691.83
Typical High
$870.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$602.56
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,174.90
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$549.54
Typical High
$1,445.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$776.25
Typical High
$1,318.26
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$741.31
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$537.03
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$363.08
Typical High
$776.25