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Utah 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
$181.97 / $407.38 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $181.97 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $177.83 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $218.78 / $371.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $602.56 / $954.99
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $186.21 / $229.09
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $204.17
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $177.83 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $120.23