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New Hampshire rates for HCPCS 81410

Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at least 9 genes, including FBN1, TGFBR1, TGFBR2, COL3A1, MYH11, ACTA2, SLC2A10, SMAD3, and MYLK

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.48 / $1,240.33 / $3,528.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.80 / $408.24 / $408.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.08 / $975.64 / $2,278.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.60 / $327.60 / $369.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$932.35 / $2,066.71 / $2,175.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.02 / $579.03 / $2,093.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.00 / $731.51 / $1,660.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.68 / $302.39 / $302.39
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.38 / $502.71 / $3,375.00