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Pennsylvania 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
$486.00 / $1,701.00 / $2,509.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.00 / $486.00 / $3,858.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,072.34 / $2,761.50 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.00 / $468.00 / $468.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.40 / $886.16 / $1,990.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.37 / $553.71 / $1,042.20
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.00 / $810.00 / $1,140.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,724.87 / $1,724.87 / $1,724.87
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.00 / $1,701.00 / $2,478.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.00 / $510.00 / $2,478.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.00 / $900.00 / $1,200.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.04 / $998.21 / $1,990.66
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.39 / $556.14 / $1,046.18
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $600.00 / $660.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.00 / $600.00 / $660.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.00 / $360.00 / $900.00