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Maine 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
$600.00 / $600.00 / $1,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.00 / $486.00 / $600.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.62 / $882.00 / $4,292.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.00 / $240.00 / $570.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,279.79 / $1,279.79 / $1,279.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.16 / $607.23 / $744.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.00 / $600.00 / $606.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $600.00 / $1,500.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.00 / $600.00 / $600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.00 / $360.00 / $900.00