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New Hampshire rates for HCPCS 81245

FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.37 / $407.32 / $1,158.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.28 / $115.86 / $129.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.26 / $320.39 / $824.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.20 / $107.58 / $107.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.17 / $657.69 / $718.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.66 / $323.07 / $687.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.51 / $240.22 / $545.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.51 / $99.31 / $209.40
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.29 / $146.75 / $215.72