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Arizona rates for HCPCS 81257

HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, Mediterranean, alpha3.7, alpha4.2, alpha20.5, Constant Spring)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.17 / $204.52 / $408.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.51 / $86.92 / $657.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.48 / $259.23 / $424.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.09 / $97.60 / $472.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.33 / $179.47 / $299.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.41 / $76.81 / $102.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.36 / $107.37 / $184.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.95 / $42.95 / $511.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.95 / $42.95 / $61.36