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Arkansas rates for HCPCS 81258

HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.82 / $472.82 / $652.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.15 / $363.99 / $472.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.73 / $562.88 / $562.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.91 / $484.03 / $703.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.33 / $323.01 / $564.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.73 / $337.73 / $337.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.10 / $225.15 / $352.74