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Oklahoma 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
$281.44 / $375.25 / $900.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.69 / $277.69 / $401.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.91 / $243.91 / $1,002.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.80 / $276.14 / $547.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.69 / $375.25 / $630.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.61 / $157.61 / $562.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.61 / $157.61 / $375.25