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New Hampshire rates for HCPCS 86689

Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $70.79 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $15.14 / $72.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $37.15 / $112.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $12.59 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $72.44 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $14.13 / $28.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $33.88 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $11.48 / $57.54