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New Hampshire rates for HCPCS 0174U

Oncology (solid tumor), mass spectrometric 30 protein targets, formalin-fixed paraffin-embedded tissue, prognostic and predictive algorithm reported as likely, unlikely, or uncertain benefit of 39 chemotherapy and targeted therapeutic oncology agents

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,462.01 / $3,212.52 / $9,137.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.76 / $1,057.34 / $1,057.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,147.33 / $2,386.21 / $5,090.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.15 / $848.49 / $1,148.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,357.11 / $4,772.57 / $5,726.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.02 / $1,500.02 / $1,875.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,771.65 / $2,173.44 / $4,300.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.26 / $783.22 / $783.22
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00