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New Jersey rates for HCPCS 81255

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

Facilitymedian $219 · 10th–90th $66–$4470%20%10th90th$219Professionalmedian $39 · 10th–90th $32–$1660%20%40%10th90th$39$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
$66.07 / $257.04 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $39.81 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $112.20 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $54.95 / $154.88
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $53.70 / $97.72
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $10,471.29 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $51.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $51.29 / $104.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $30.90 / $54.95