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New Hampshire rates for HCPCS 0259U

Nephrology (chronic kidney disease), nuclear magnetic resonance spectroscopy measurement of myo-inositol, valine, and creatinine, algorithmically combined with cystatin C (by immunoassay) and demographic data to determine estimated glomerular filtration rate (GFR), serum, quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $36.31 / $52.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $100.00 / $302.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $33.88 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $165.96 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $75.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $91.20 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $31.62 / $81.28