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New Hampshire rates for HCPCS 86828

Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and Class II HLA antigens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.89 / $157.97 / $449.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.70 / $44.06 / $44.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.59 / $124.26 / $290.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.68 / $41.72 / $49.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.74 / $262.77 / $276.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.56 / $33.18 / $91.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.12 / $114.08 / $228.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.96 / $38.51 / $38.51
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.43 / $64.03 / $3,000.00