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Indiana 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
$492.00 / $690.00 / $1,980.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.98 / $492.00 / $540.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.00 / $537.00 / $1,800.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.00 / $240.00 / $331.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $780.00 / $840.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.00 / $720.00 / $900.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.00 / $600.00 / $1,396.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.75 / $417.28 / $862.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $600.00 / $720.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.00 / $360.00 / $659.40