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Ohio 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
$300.20 / $645.42 / $938.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.68 / $300.20 / $541.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.35 / $405.27 / $664.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.10 / $183.12 / $561.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.25 / $469.06 / $562.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.83 / $506.59 / $900.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.11 / $426.84 / $2,141.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.24 / $278.70 / $726.77
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.11 / $426.84 / $2,141.53
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.24 / $278.70 / $726.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.51 / $337.72 / $464.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.61 / $225.15 / $495.59