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Michigan 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
$48.88 / $48.88 / $76.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.50 / $39.31 / $53.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.74 / $58.71 / $102.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $38.59 / $41.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.45 / $76.42 / $125.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.45 / $64.31 / $69.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $51.45 / $168.52
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.09 / $48.88 / $89.82
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.09 / $44.25 / $69.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.61 / $46.87 / $75.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.61 / $30.87 / $51.45