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Tennessee 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 / $469.06 / $1,200.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.44 / $292.70 / $356.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.13 / $525.35 / $739.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.52 / $905.78 / $1,176.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.51 / $249.71 / $638.97
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.94 / $1,782.44 / $1,782.44
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,876.25 / $1,876.25 / $2,814.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.61 / $225.15 / $375.25