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Kansas 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
$391.76 / $775.42 / $1,198.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.44 / $326.47 / $401.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.06 / $469.06 / $469.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.13 / $614.65 / $850.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.03 / $358.22 / $710.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.54 / $375.25 / $542.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.61 / $225.15 / $1,876.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.61 / $225.15 / $600.40