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New Hampshire rates for HCPCS 86617

Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot)

Facilitymedian $98 · 10th–90th $26–$2570%5%10th90th$98Professionalmedian $17 · 10th–90th $10–$390%10%10th90th$17$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $112.20 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $22.39 / $41.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $30.20 / $89.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $10.00 / $29.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $58.88 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $16.22 / $44.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $26.92 / $52.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $12.88 / $57.54