go back

Kansas 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
$109.42 / $237.24 / $497.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.70 / $88.97 / $134.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.73 / $247.43 / $371.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.88 / $162.88 / $162.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.15 / $192.50 / $615.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.64 / $97.64 / $148.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.00 / $102.26 / $147.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.95 / $61.36 / $511.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.95 / $61.36 / $163.62