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Pennsylvania 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
$213.80 / $512.86 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $165.96 / $407.38
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $977.24 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $331.13 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $177.83 / $354.81
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $263.03 / $380.19
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $223.87 / $380.19
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $478.63 / $1,445.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $501.19 / $851.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $186.21 / $724.44
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $162.18 / $309.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $162.18 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $120.23 / $251.19