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New Hampshire rates for HCPCS 81417

Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.40 / $787.52 / $2,240.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.00 / $224.00 / $259.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.40 / $619.46 / $1,593.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.00 / $208.00 / $208.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.97 / $1,209.31 / $1,381.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.71 / $625.04 / $1,329.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.00 / $464.45 / $1,054.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.40 / $192.00 / $320.00
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.43 / $260.07 / $331.00