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Genetic Test For A Gene Linked To Sickle Cell Disease

New Jersey rates for HCPCS 81364

A genetic blood test that examines the gene associated with sickle cell disease and beta thalassemia, two inherited conditions affecting red blood cells and the hemoglobin they carry. It looks for a change in this gene that can cause or contribute to these conditions. It may be used to confirm a diagnosis, guide family planning, or evaluate a newborn or family member of someone already diagnosed.

Rates data updated July 2026.

Facilitymedian $676 · 10th–90th $324$3,2360%20%10th90th$676Professionalmedian $251 · 10th–90th $174$3890%20%10th90th$251$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$537.03
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$257.04
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$707.95
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$257.04
Typical High
$588.84
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$338.84
Typical High
$524.81
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$323.59
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$338.84