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Georgia rates for HCPCS 81255

HEXA (hexosaminidase A [alpha polypeptide]) (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S)

Facilitymedian $69 · 10th–90th $47–$1740%10%20%10th90th$69Professionalmedian $41 · 10th–90th $32–$850%20%10th90th$41$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $95.50 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $39.81 / $83.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $69.18 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $56.23 / $144.54
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $72.44 / $109.65
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $67.61 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $83.18 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $58.88 / $169.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $67.61 / $398.11
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $63.10 / $109.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $46.77 / $51.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $30.90 / $70.79