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Rhode Island 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
$2,157.69 / $2,157.69 / $2,157.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.68 / $277.69 / $307.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.25 / $441.97 / $480.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.44 / $281.44 / $458.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$995.97 / $995.97 / $995.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.48 / $498.06 / $1,015.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.61 / $225.15 / $541.22