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Connecticut 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
$324.27 / $391.39 / $1,044.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.88 / $246.73 / $662.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.24 / $439.91 / $904.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.37 / $355.59 / $718.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.62 / $560.76 / $1,532.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.76 / $344.80 / $764.43
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.77 / $499.83 / $634.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.61 / $225.15 / $658.53