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Michigan 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 / $190.55 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $173.78 / $257.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $229.09 / $398.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $151.36 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $120.23 / $436.52
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $354.81
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $204.17 / $275.42
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $109.65 / $281.84
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 / $120.23 / $204.17