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New Hampshire rates for HCPCS 0273U

Hematology (genetic hyperfibrinolysis, delayed bleeding), analysis of 9 genes (F13A1, F13B, FGA, FGB, FGG, SERPINA1, SERPINE1, SERPINF2 by next-generation sequencing, and PLAU by array comparative genomic hybridization), blood, buccal swab, or amniotic fluid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.15 / $1,496.71 / $4,257.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.72 / $425.72 / $492.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.44 / $1,111.73 / $2,371.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.58 / $395.31 / $395.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.17 / $2,222.89 / $2,667.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.16 / $825.41 / $1,877.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.43 / $364.90 / $608.16
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00