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Michigan 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
$356.49 / $356.49 / $556.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.72 / $356.49 / $356.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.41 / $424.47 / $745.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.37 / $281.44 / $301.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.71 / $224.34 / $571.49
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.04 / $356.49 / $655.04
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.04 / $356.49 / $450.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.70 / $341.78 / $559.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.61 / $225.15 / $375.25