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Louisiana 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
$108.40 / $138.05 / $501.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.36 / $123.73 / $140.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.73 / $199.70 / $319.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.03 / $112.49 / $112.49
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.26 / $102.26 / $102.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.82 / $254.56 / $631.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.51 / $105.78 / $210.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.95 / $58.30 / $132.94