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New Hampshire rates for HCPCS 0256U

Trimethylamine/trimethylamine N-oxide (TMA/TMAO) profile, liquid chromatography tandem mass spectrometry (LC-MS/MS), urine, with algorithmic analysis and interpretive report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $112.20 / $128.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $309.03 / $912.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $104.71 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $501.19 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $229.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $281.84 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $95.50 / $158.49