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New Hampshire rates for HCPCS 81504

Oncology Tissue Of Origin Similar Scor Algorithm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.40 / $1,279.72 / $3,640.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.00 / $405.60 / $421.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$855.40 / $1,006.62 / $2,589.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.00 / $338.00 / $338.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.96 / $1,900.89 / $2,281.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.45 / $1,015.92 / $2,160.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.00 / $754.73 / $1,712.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.40 / $312.00 / $520.00
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.28 / $427.11 / $543.59