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Nebraska 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
$247.67 / $247.67 / $375.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.67 / $247.67 / $2,412.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.74 / $581.01 / $1,123.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.86 / $596.64 / $615.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.30 / $688.06 / $960.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.15 / $563.24 / $1,782.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.15 / $225.15 / $1,084.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.30 / $724.27 / $1,473.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.30 / $688.06 / $960.64
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.04 / $637.91 / $765.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.89 / $225.15 / $731.74