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New Hampshire rates for HCPCS 0304U

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; normoxic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.90 / $5,108.54 / $14,530.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.06 / $1,681.40 / $1,681.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,414.69 / $3,794.56 / $8,095.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.34 / $1,349.27 / $1,594.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,735.93 / $6,516.97 / $7,588.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,385.08 / $2,385.08 / $2,981.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,817.28 / $3,456.21 / $6,837.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.84 / $1,245.48 / $1,245.48
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00