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Missouri 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
$100.00 / $177.83 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $97.72 / $173.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $102.33 / $354.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $109.65 / $257.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $151.36 / $263.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $102.33 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $199.53 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $97.72 / $147.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $128.82 / $1,584.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $61.66 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $102.33 / $123.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $61.66 / $112.20