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New Hampshire rates for HCPCS 0023U

Oncology (acute myelogenous leukemia), DNA, genotyping of internal tandem duplication, p.D835, p.I836, using mononuclear cells, reported as detection or non-detection of FLT3 mutation and indication for or against the use of midostaurin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.33 / $611.58 / $1,739.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.80 / $454.28 / $969.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.40 / $161.53 / $161.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.73 / $908.55 / $1,090.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.51 / $337.28 / $767.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.37 / $149.11 / $149.11
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.56 / $259.77 / $3,375.00