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New Hampshire rates for HCPCS 0015M

Adrenal cortical tumor, biochemical assay of 25 steroid markers, utilizing 24-hour urine specimen and clinical parameters, prognostic algorithm reported as a clinical risk and integrated clinical steroid risk for adrenal cortical carcinoma, adenoma, or other adrenal malignancy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $954.99 / $1,230.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,511.89 / $7,585.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $851.14 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $4,073.80 / $5,754.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $1,318.26