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New Hampshire rates for HCPCS 81164

BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.34 / $1,437.79 / $4,089.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.96 / $408.96 / $473.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$961.06 / $1,130.95 / $2,909.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.69 / $379.74 / $379.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.95 / $2,135.51 / $2,562.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.62 / $898.70 / $2,427.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.23 / $847.95 / $1,924.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.69 / $350.54 / $350.54
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.24 / $479.86 / $610.74