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Minnesota 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
$354.81 / $354.81 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $323.59 / $467.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $371.54 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,412.54 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $549.54 / $776.25
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,288.25 / $2,691.53
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $724.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $660.69 / $1,148.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $223.87 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $309.03 / $794.33