go back

Maine rates for HCPCS 81255

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.64 / $51.45 / $133.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.67 / $41.67 / $51.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.79 / $75.63 / $1,325.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.58 / $20.58 / $167.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.73 / $109.73 / $109.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.69 / $52.05 / $54.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.45 / $51.45 / $51.96
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.45 / $51.45 / $229.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.67 / $51.45 / $51.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.24 / $30.87 / $77.18