go back

New Hampshire 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
$162.18 / $512.86 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $158.49 / $251.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $389.05 / $1,174.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $741.31 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $213.80 / $831.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $436.52