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Texas 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
$67.50 / $179.17 / $529.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.25 / $76.70 / $134.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.36 / $61.36 / $61.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.96 / $260.76 / $579.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $56.24 / $143.16
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.58 / $104.89 / $230.09
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.26 / $102.26 / $102.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.66 / $240.00 / $516.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.77 / $97.22 / $173.89
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.54 / $1,569.67 / $1,569.67
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.30 / $511.30 / $766.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.42 / $102.26 / $153.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.15 / $102.26 / $127.83
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.52 / $324.62 / $405.61
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.47 / $122.71 / $230.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.58 / $138.05 / $516.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.09 / $119.23 / $178.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.95 / $42.95 / $65.45
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.88 / $102.26 / $138.05