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New Hampshire rates for HCPCS 0118U

Transplantation medicine, quantification of donor-derived cell-free DNA using whole genome next-generation sequencing, plasma, reported as percentage of donor-derived cell-free DNA in the total cell-free DNA

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,083.64 / $6,775.75 / $19,272.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.43 / $455.43 / $2,147.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,529.10 / $5,032.93 / $10,737.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.30 / $1,789.61 / $1,789.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,971.54 / $10,064.66 / $12,078.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,753.25 / $3,996.07 / $9,069.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.36 / $1,651.95 / $2,753.25
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00