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New Hampshire rates for HCPCS 0136U

ATM (ataxia telangiectasia mutated) (eg, ataxia telangiectasia) mRNA sequence analysis (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $2,884.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $302.00 / $354.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $776.25 / $2,344.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $263.03 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,288.25 / $1,778.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $776.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $426.58