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Tennessee 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
$450.00 / $832.50 / $1,920.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.00 / $468.00 / $570.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.00 / $792.00 / $1,182.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.18 / $1,322.30 / $1,881.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.99 / $399.30 / $1,022.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,044.00 / $2,850.00 / $2,850.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $4,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.00 / $360.00 / $600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.00 / $360.00 / $600.00