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Tennessee 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 / $127.83 / $327.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.70 / $79.76 / $97.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.70 / $143.16 / $235.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.67 / $256.18 / $413.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.06 / $70.45 / $276.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.93 / $1,569.67 / $1,569.67
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.30 / $511.30 / $766.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.95 / $61.36 / $102.26