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New Hampshire rates for HCPCS Q4222

ProgenaMatrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.55 / $127.55 / $153.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.49 / $145.49 / $160.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.49 / $145.49 / $145.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.25 / $145.49 / $145.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.49 / $145.49 / $145.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.49 / $145.49 / $211.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.49 / $145.49 / $183.66
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.60 / $201.96 / $257.04