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Arizona 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
$341.93 / $750.50 / $1,497.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.42 / $301.70 / $2,412.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.61 / $982.11 / $1,555.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.22 / $358.14 / $1,734.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.89 / $658.56 / $1,097.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.71 / $281.81 / $465.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.42 / $375.25 / $677.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.61 / $157.61 / $1,876.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.61 / $157.61 / $225.15