go back

New Hampshire rates for HCPCS 0115U

Respiratory infectious agent detection by nucleic acid (DNA and RNA), 18 viral types and subtypes and 2 bacterial targets, amplified probe technique, including multiplex reverse transcription for RNA targets, each analyte reported as detected or not detected

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.39 / $677.64 / $1,927.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.44 / $245.44 / $245.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.95 / $503.34 / $1,073.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.14 / $178.97 / $178.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.21 / $1,006.71 / $1,207.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.35 / $399.64 / $907.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.65 / $165.21 / $275.35
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00