go back

Wyoming 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
$102.26 / $102.26 / $102.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.13 / $76.70 / $145.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.83 / $159.00 / $327.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.47 / $204.47 / $204.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.17 / $166.17 / $219.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.95 / $42.95 / $102.26