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New Hampshire rates for HCPCS 0179U

Oncology (non-small cell lung cancer), cell-free DNA, targeted sequence analysis of 23 genes (single nucleotide variations, insertions and deletions, fusions without prior knowledge of partner/breakpoint, copy number variations), with report of significant mutation(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,176.40 / $4,782.24 / $13,602.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.25 / $1,360.25 / $1,574.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,196.58 / $3,552.19 / $7,578.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.28 / $1,263.08 / $1,263.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,508.86 / $7,104.39 / $8,524.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,943.21 / $2,637.32 / $5,997.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.15 / $1,165.93 / $1,943.21
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00