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Texas 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
$125.89 / $302.00 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $162.18 / $257.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $645.65 / $1,096.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $112.20 / $275.42
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $281.84 / $776.25
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $275.42 / $281.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $213.80 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $363.08 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $128.82 / $346.74
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,513.56 / $1,513.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $204.17 / $676.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $162.18 / $251.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $204.17
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $218.78 / $426.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $218.78 / $588.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $138.04 / $316.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $85.11 / $204.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $138.04
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $169.82 / $204.17