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Genetic Test For Hereditary Iron Overload (HFE Gene)

Massachusetts rates for HCPCS 81256

A blood sample is tested for the most common genetic changes linked to hereditary hemochromatosis, a condition in which the body absorbs and stores too much iron over time. Identifying these gene changes can help confirm a diagnosis in someone with signs of iron overload or a family history of the condition.

Facilitymedian $186 · 10th–90th $66$5130%10%20%10th90th$186Professionalmedian $66 · 10th–90th $49$1910%20%40%10th90th$66$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$190.55
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$67.61
Typical High
$194.98
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$91.20
Typical High
$223.87
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$67.61
Typical High
$218.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$162.18
Typical High
$229.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$89.13
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$69.18
Typical High
$169.82
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$4,897.79
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$112.20
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$125.89
Health New England
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$123.03
Typical High
$186.21
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$91.20
Typical High
$223.87
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$67.61
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$66.07
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$66.07
Typical High
$147.91