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Idaho 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
$363.08 / $436.52 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $162.18 / $398.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $389.05 / $724.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $416.87 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $151.36 / $338.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $302.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $213.80 / $251.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $173.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $407.38 / $724.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $213.80
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $204.17