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New Hampshire rates for HCPCS 0058U

Oncology (Merkel cell carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $251.19 / $288.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $630.96 / $1,862.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $208.93 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $1,023.29 / $1,412.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $616.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $380.19