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Missouri 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
$318.95 / $504.46 / $870.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.19 / $326.47 / $431.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.25 / $394.01 / $1,732.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.10 / $307.43 / $669.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.97 / $706.36 / $900.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.05 / $193.95 / $485.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.95 / $469.06 / $1,782.44
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 / $450.30