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New Hampshire rates for HCPCS 81246

FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.96 / $204.26 / $581.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.73 / $107.85 / $107.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.54 / $160.66 / $413.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.20 / $53.95 / $53.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.54 / $313.67 / $358.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.01 / $161.86 / $344.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.00 / $120.47 / $273.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.86 / $49.80 / $105.01
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.33 / $82.80 / $3,375.00