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New Hampshire rates for HCPCS 81420

Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $850.14 / $5,313.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.00 / $500.00 / $592.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,248.64 / $1,469.37 / $3,430.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.62 / $493.38 / $645.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,404.16 / $3,111.89 / $3,275.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.20 / $872.26 / $3,153.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.05 / $1,101.69 / $2,500.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.80 / $455.43 / $960.33
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.83 / $757.12 / $3,375.00