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New Hampshire rates for HCPCS 87339

Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; Helicobacter pylori

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $41.69 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $10.96 / $51.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $30.90 / $91.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $10.47 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $60.26 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.71 / $22.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $28.18 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $9.55 / $35.48