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Virginia 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 / $712.22 / $1,343.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.44 / $307.70 / $318.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.25 / $375.25 / $1,844.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.10 / $150.10 / $243.91
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.20 / $300.20 / $585.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.91 / $701.18 / $1,922.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.01 / $227.70 / $619.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.25 / $450.30 / $555.37
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.39 / $431.54 / $637.91
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.00 / $525.00 / $900.60
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.76 / $420.28 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.76 / $420.28 / $4,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.61 / $213.89 / $431.54