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New Hampshire rates for HCPCS 81411

Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for TGFBR1, TGFBR2, MYH11, and COL3A1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,512.21 / $3,322.82 / $9,451.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.00 / $728.00 / $1,053.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,221.06 / $2,613.69 / $6,102.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.08 / $877.62 / $991.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,497.71 / $5,537.34 / $5,828.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.33 / $1,551.64 / $5,609.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.19 / $1,959.67 / $4,447.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.08 / $810.11 / $810.11
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.60 / $1,346.76 / $3,375.00