go back

New Hampshire rates for HCPCS 81448

Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2, GJB1, MFN2, MPZ, REEP1, SPAST, SPG11, SPTLC1)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,479.11 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $478.63 / $891.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,122.02 / $3,388.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $380.19 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,137.96 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $707.95 / $2,454.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $1,122.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $436.52 / $1,479.11