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New Hampshire rates for HCPCS 81403

Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or duplication/deletion variants of 2-5 exons)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $259.27 / $1,296.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $144.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.64 / $358.51 / $922.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.08 / $120.38 / $120.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.60 / $699.89 / $798.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.02 / $362.10 / $770.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.20 / $268.80 / $610.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.78 / $111.12 / $185.20
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.12 / $193.61 / $3,375.00