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North Dakota 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
$262.68 / $2,460.81 / $2,460.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.68 / $352.74 / $352.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.85 / $756.13 / $844.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.17 / $431.17 / $632.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.15 / $285.19 / $675.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.38 / $450.30 / $750.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.61 / $445.63 / $637.92