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Minnesota 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
$96.12 / $96.12 / $96.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.13 / $96.12 / $140.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.21 / $172.37 / $431.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.81 / $102.26 / $102.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.17 / $372.66 / $896.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.46 / $148.96 / $206.67
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.67 / $340.70 / $705.90
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.29 / $117.29 / $185.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.71 / $178.96 / $281.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.15 / $81.81 / $269.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.13 / $92.03 / $217.78