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New Hampshire rates for HCPCS 0102U

Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer), genomic sequence analysis panel utilizing a combination of NGS, Sanger, MLPA, and array CGH, with mRNA analytics to resolve variants of unknown significance when indicated (17 genes [sequencing and deletion/duplication])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.42 / $3,209.02 / $9,127.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.08 / $1,017.08 / $1,017.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,839.06 / $2,043.65 / $4,360.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.58 / $847.56 / $847.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,354.55 / $4,766.59 / $5,720.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.95 / $1,892.55 / $4,295.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.55 / $670.79 / $1,117.98
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.80 / $918.28 / $1,168.72