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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
$208.93 / $380.19 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $134.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $288.40 / $870.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $549.54 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $158.49 / $630.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $288.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $263.03