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Arizona rates for HCPCS 81259

HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.72 / $1,200.00 / $2,394.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.00 / $482.40 / $3,858.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.50 / $1,570.36 / $2,487.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.69 / $572.64 / $2,773.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.95 / $1,053.00 / $1,755.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.58 / $390.00 / $744.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.00 / $600.00 / $1,084.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.00 / $252.00 / $3,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $540.00 / $720.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.00 / $252.00 / $360.00