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New Hampshire rates for HCPCS 0009U

Oncology (breast cancer), ERBB2 (HER2) copy number by FISH, tumor cells from formalin fixed paraffin embedded tissue isolated using image-based dielectrophoresis (DEP) sorting, reported as ERBB2 gene amplified or non-amplified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $79.43 / $93.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $204.17 / $616.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $338.84 / $467.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $204.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $112.20