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Maine 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
$204.17 / $204.17 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $158.49 / $204.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $1,288.25 / $1,412.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $131.83 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $204.17 / $371.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $239.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $331.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $194.98 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $204.17 / $309.03