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New Hampshire rates for HCPCS 81175

ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.68 / $1,664.87 / $4,735.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.91 / $494.91 / $572.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,112.83 / $1,309.57 / $3,368.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.60 / $439.72 / $439.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.47 / $2,556.59 / $2,967.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.37 / $1,088.86 / $2,810.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.50 / $981.87 / $2,228.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.60 / $405.90 / $676.50
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.39 / $626.87 / $921.50