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New Hampshire rates for HCPCS 0170U

Neurology (autism spectrum disorder [ASD]), RNA, next-generation sequencing, saliva, algorithmic analysis, and results reported as predictive probability of ASD diagnosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $13,803.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,318.26 / $1,513.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,388.44 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $1,258.93 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $6,165.95 / $7,762.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $1,949.84 / $3,715.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,949.84