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New Hampshire rates for HCPCS 0333U

Oncology (liver), surveillance for hepatocellular carcinoma (HCC) in high-risk patients, analysis of methylation patterns on circulating cell-free DNA (cfDNA) plus measurement of serum of AFP/AFP-L3 and oncoprotein des-gamma-carboxy-prothrombin (DCP), algorithm reported as normal or abnormal result

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.80 / $1,629.97 / $4,636.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.62 / $463.62 / $536.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.52 / $1,210.72 / $2,583.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.50 / $430.50 / $2,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,511.09 / $2,079.36 / $2,421.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.32 / $898.90 / $2,044.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.17 / $397.39 / $662.32