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Louisiana 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
$397.77 / $517.10 / $1,839.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.15 / $454.05 / $487.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.32 / $732.83 / $1,173.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.73 / $412.78 / $540.36
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.25 / $375.25 / $375.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.53 / $719.59 / $2,649.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.56 / $289.16 / $728.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.10 / $187.63 / $469.06