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New Hampshire rates for HCPCS 81422

Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.14 / $1,868.02 / $5,313.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.63 / $592.05 / $649.89
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 / $557.14
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 / $797.84 / $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 / $481.40
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.83 / $688.97 / $989.30