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New Hampshire rates for HCPCS 81228

Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization [CGH] microarray analysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.00 / $2,214.90 / $6,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.00 / $306.00 / $702.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.50 / $1,742.22 / $4,481.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.00 / $585.00 / $585.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,657.08 / $3,401.19 / $3,884.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.22 / $1,758.68 / $3,740.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.00 / $1,306.26 / $2,964.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.00 / $540.00 / $2,476.53
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.03 / $784.93 / $2,500.00