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Vermont 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
Professional
Modifier
Low / Median / High Price
$262.68 / $465.31 / $2,412.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.07 / $628.07 / $628.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.68 / $424.84 / $843.31
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.07 / $628.07 / $628.07
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.68 / $424.84 / $843.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.61 / $375.25 / $1,688.63