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New Hampshire rates for HCPCS 86617

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $112.20 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $13.80 / $69.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.72 / $10.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $30.20 / $89.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $10.00 / $29.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $58.88 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $11.22 / $22.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $26.92 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $9.33 / $45.71