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New Jersey 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

Facilitymedian $891 · 10th–90th $603–$4,2660%20%10th90th$891Professionalmedian $490 · 10th–90th $324–$8710%10%20%10th90th$490$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $794.33 / $3,630.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $489.78 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $1,318.26 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $478.63 / $1,071.52
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $630.96 / $1,148.15
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $10,471.29 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $602.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $602.56 / $1,230.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $363.08 / $645.65