go back

Delaware 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
$431.54 / $431.54 / $431.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.42 / $251.42 / $311.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.91 / $243.91 / $243.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.06 / $204.98 / $542.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.61 / $225.15 / $825.55