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New York rates for HCPCS 81255

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

Facilitymedian $91 · 10th–90th $51$1550%20%10th90th$91Professionalmedian $54 · 10th–90th $31$1350%20%10th90th$54$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
$51.29 / $91.20 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $46.77 / $134.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $134.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $134.90
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $51.29 / $51.29
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $109.65 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $72.44 / $245.47
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $177.83 / $269.15
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $45.71 / $97.72
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $48.98 / $91.20
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $97.72 / $50,118.72
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $52.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $51.29 / $64.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $36.31 / $169.82
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $54.95 / $54.95
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $48.98 / $123.03