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New Hampshire rates for HCPCS 0265U

Rare constitutional and other heritable disorders, whole genome and mitochondrial DNA sequence analysis, blood, frozen and formalin-fixed paraffin-embedded (FFPE) tissue, saliva, buccal swabs or cell lines, identification of single nucleotide and copy number variants

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $13,803.84 / $38,018.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $4,073.80 / $4,466.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $10,471.29 / $31,622.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $3,548.13 / $5,128.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $17,378.01 / $23,988.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $5,495.41