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Delaware 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
$84.87 / $117.60 / $834.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.51 / $68.51 / $84.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.47 / $66.47 / $66.47
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.01 / $272.01 / $478.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.95 / $61.36 / $224.97