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Idaho 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
$677.26 / $677.26 / $975.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.68 / $731.74 / $731.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.69 / $780.51 / $1,463.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.47 / $279.62 / $620.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.51 / $731.74 / $804.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.25 / $375.25 / $450.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.07 / $337.73 / $731.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.88 / $806.79 / $1,350.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.54 / $659.86 / $659.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.61 / $157.61 / $431.54