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South Carolina 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
$79.43 / $194.98 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $85.11 / $141.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $676.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $141.25 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $257.04 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $47.86 / $223.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $97.72 / $154.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $102.33 / $123.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $61.66 / $102.33