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Connecticut 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
$97.15 / $133.35 / $284.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.92 / $129.69 / $145.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.14 / $125.76 / $253.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.01 / $76.18 / $162.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.36 / $176.37 / $417.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.91 / $127.03 / $230.07
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.05 / $136.21 / $172.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.95 / $61.36 / $179.46