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New Hampshire rates for HCPCS 0014M

Liver disease, analysis of 3 biomarkers (hyaluronic acid [HA], procollagen III amino terminal peptide [PIIINP], tissue inhibitor of metalloproteinase 1 [TIMP-1]), using immunoassays, utilizing serum, prognostic algorithm reported as a risk score and risk of liver fibrosis and liver-related clinical events within 5 years

Insurance Carrier
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.19 / $239.13 / $543.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.19 / $176.19 / $176.19
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00