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Hawaii 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
$309.58 / $350.86 / $450.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.88 / $198.88 / $198.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.56 / $450.30 / $450.30
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.76 / $333.99 / $392.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.78 / $450.30 / $525.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.25 / $450.30 / $562.88
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.95 / $551.62 / $844.31