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North Carolina rates for HCPCS 81255

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

Facilitymedian $55 · 10th–90th $41–$1700%10%20%10th90th$55Professionalmedian $41 · 10th–90th $26–$830%20%10th90th$41$10.0$20.0$50.0$100.0$200.0

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
$40.74 / $54.95 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $40.74 / $83.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $144.54 / $162.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $46.77 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $112.20 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $69.18
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $51.29 / $100.00
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $53.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $60.26 / $63.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $30.90 / $75.86
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $389.05