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New Hampshire rates for HCPCS 81402

Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants [typically using non-sequencing target variant analysis], immunoglobulin and T-cell receptor gene rearrangements, duplication/deletion variants of 1 exon, loss of heterozygosity [LOH], uniparental disomy [UPD])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.37 / $369.96 / $1,052.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $117.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.29 / $291.01 / $748.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.13 / $97.71 / $97.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.08 / $568.09 / $649.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.94 / $293.64 / $624.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.33 / $218.19 / $495.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.14 / $90.20 / $150.33
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.48 / $157.15 / $3,375.00