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Oklahoma 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
$76.70 / $102.26 / $245.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.13 / $76.70 / $145.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.11 / $295.77 / $428.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.15 / $97.15 / $97.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.47 / $66.47 / $273.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.54 / $124.33 / $148.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.67 / $102.26 / $171.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.95 / $42.95 / $153.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.95 / $42.95 / $65.45