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New York 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)

Facilitymedian $200 · 10th–90th $102$3550%10%20%10th90th$200Professionalmedian $98 · 10th–90th $41$2140%10%10th90th$98$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $204.17 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $107.15 / $234.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $263.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $165.96
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $102.33 / $102.33
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $218.78 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $144.54 / $489.78
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $131.83 / $281.84
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $91.20 / $194.98
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $97.72 / $181.97
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $457.09
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $194.98 / $50,118.72
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $104.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $102.33 / $128.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $85.11 / $229.09
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $109.65 / $109.65
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $97.72 / $245.47