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New Hampshire rates for HCPCS 81172

AFF2 (ALF transcription elongation factor 2 [FMR2]) (eg, fragile X intellectual disability 2 [FRAXE]) gene analysis; characterization of alleles (eg, expanded size and methylation status)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $691.83 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $213.80 / $338.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $537.03 / $1,584.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $870.96 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $288.40 / $1,148.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $524.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $457.09