go back

Washington, DC 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
$76.70 / $210.65 / $625.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.70 / $76.70 / $79.76
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.26 / $112.49 / $811.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.18 / $172.82 / $371.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.60 / $323.74 / $795.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.60 / $207.86 / $207.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.95 / $61.36 / $162.59