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Wisconsin 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

Facilitymedian $1,023 · 10th–90th $417$2,1380%10%20%10th90th$1,023Professionalmedian $355 · 10th–90th $151$1,1750%10%10th90th$355$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $1,023.29 / $2,454.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $316.23 / $478.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $1,000.00 / $1,023.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,202.26 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $562.34 / $1,174.90
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $1,584.89 / $2,398.83
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $2,511.89
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $478.63 / $1,318.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $223.87 / $1,148.15
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $64.57 / $302.00
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $446.68 / $1,071.52
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $602.56 / $1,071.52
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $891.25 / $1,288.25
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $1,778.28 / $1,778.28
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $1,862.09 / $1,862.09
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $794.33 / $794.33
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $2,041.74 / $2,884.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $302.00 / $812.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $223.87 / $562.34