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North Dakota 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
$71.58 / $71.58 / $184.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.13 / $96.12 / $105.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.93 / $206.05 / $230.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.29 / $117.29 / $172.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.36 / $77.72 / $184.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.15 / $122.71 / $204.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.95 / $104.31 / $173.84