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West 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
$307.70 / $469.06 / $562.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.44 / $307.70 / $318.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.78 / $562.88 / $656.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.30 / $450.30 / $506.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.89 / $450.30 / $1,125.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.77 / $513.63 / $1,808.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.61 / $187.63 / $600.40