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New Hampshire rates for HCPCS 81304

MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.00 / $369.15 / $1,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $209.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.75 / $290.37 / $746.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $97.50 / $97.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.49 / $596.21 / $658.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.76 / $293.01 / $623.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $217.71 / $494.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.00 / $90.00 / $150.00
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.01 / $130.83 / $2,500.00