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New Hampshire rates for HCPCS 81268

Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each cell type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.18 / $365.11 / $1,825.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.42 / $248.42 / $288.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.00 / $504.84 / $1,298.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.32 / $169.51 / $169.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.43 / $1,110.63 / $1,389.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.16 / $509.24 / $1,083.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.79 / $378.51 / $927.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.53 / $156.47 / $260.79
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.88 / $294.97 / $419.62