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New Hampshire rates for HCPCS 0004M

Scoliosis, DNA analysis of 53 single nucleotide polymorphisms (SNPs), using saliva, prognostic algorithm reported as a risk score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $57.54 / $67.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $616.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $51.29 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $245.47 / $346.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $47.86 / $79.43