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New Hampshire rates for HCPCS 0314U

Oncology (cutaneous melanoma), mRNA gene expression profiling by RT-PCR of 35 genes (32 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded (FFPE) tissue, algorithm reported as a categorical result (ie, benign, intermediate, malignant)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,184.00 / $4,798.95 / $13,650.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.00 / $1,365.00 / $1,579.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,207.75 / $3,564.60 / $7,605.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.50 / $1,267.50 / $1,549.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,448.93 / $6,122.03 / $7,128.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,950.00 / $2,646.54 / $6,018.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.00 / $1,170.00 / $2,467.10
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00