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New Hampshire rates for HCPCS 0023U

Oncology (acute myelogenous leukemia), DNA, genotyping of internal tandem duplication, p.D835, p.I836, using mononuclear cells, reported as detection or non-detection of FLT3 mutation and indication for or against the use of midostaurin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $1,737.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $181.97 / $213.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $478.63 / $1,445.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $162.18 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $776.25 / $1,096.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $251.19