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New Hampshire rates for HCPCS 0214U

Rare diseases (constitutional/heritable disorders), whole exome and mitochondrial DNA sequence analysis, including small sequence changes, deletions, duplications, short tandem repeat gene expansions, and variants in non-uniquely mappable regions, blood or saliva, identification and categorization of genetic variants, proband

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $13,182.57 / $36,307.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $3,630.78 / $4,265.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $10,000.00 / $30,199.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $3,388.44 / $4,897.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $16,218.10 / $22,908.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $5,248.07