go back

New Hampshire rates for HCPCS 0205U

Ophthalmology (age-related macular degeneration), analysis of 3 gene variants (2 CFH gene, 1 ARMS2 gene), using PCR and MALDI-TOF, buccal swab, reported as positive or negative for neovascular age-related macular-degeneration risk associated with zinc supplements

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $33.88 / $39.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $91.20 / $269.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $147.91 / $204.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $89.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.18 / $50.12