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Arizona rates for HCPCS 81269

HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $707.95 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $162.18 / $389.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $416.87 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $199.53 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $199.53 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $181.97 / $257.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $213.80 / $363.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $204.17 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $120.23