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New York 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 $1,047 · 10th–90th $490$1,8200%10%10th90th$1,047Professionalmedian $490 · 10th–90th $240$1,1480%10%10th90th$490$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$489.78 / $1,047.13 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $512.86 / $1,096.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $1,548.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $1,174.90
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $602.56 / $602.56
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $602.56 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $1,288.25 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $741.31 / $2,884.03
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $724.44 / $1,659.59
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $537.03 / $1,148.15
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $588.84 / $1,071.52
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $1,122.02 / $50,118.72
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $616.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $602.56 / $758.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $416.87 / $1,258.93
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $630.96 / $776.25
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $602.56 / $1,445.44