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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
$655.09 / $1,439.44 / $4,094.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.22 / $505.47 / $584.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$962.16 / $1,132.25 / $2,912.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.96 / $380.18 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.02 / $2,210.42 / $3,023.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.97 / $1,112.15 / $2,430.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.90 / $848.92 / $2,081.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.66 / $350.94 / $433.26
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.53 / $586.88 / $746.94