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New Hampshire rates for HCPCS 0303U

Hematology, red blood cell (RBC) adhesion to endothelial/subendothelial adhesion molecules, functional assessment, whole blood, with algorithmic analysis and result reported as an RBC adhesion index; hypoxic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,465.81 / $5,418.19 / $15,411.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,541.14 / $1,783.31 / $1,783.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,621.66 / $4,024.56 / $8,586.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.34 / $1,431.05 / $1,690.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,022.99 / $6,911.97 / $8,048.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,529.63 / $2,529.63 / $3,162.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,988.04 / $3,665.70 / $7,252.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.68 / $1,320.97 / $2,201.62
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00