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Kentucky 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
$80.79 / $83.85 / $454.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.70 / $81.81 / $104.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.73 / $92.03 / $107.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.90 / $40.90 / $97.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.49 / $143.16 / $168.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.26 / $132.94 / $171.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.47 / $79.56 / $1,569.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.67 / $108.01 / $492.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.28 / $61.36 / $102.26