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Maine 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
$375.25 / $375.25 / $938.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.95 / $303.95 / $375.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.13 / $551.62 / $2,684.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.10 / $150.10 / $356.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.39 / $800.39 / $800.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.75 / $379.72 / $465.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.25 / $375.25 / $379.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.25 / $375.25 / $938.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.95 / $375.25 / $375.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.38 / $225.15 / $656.69