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New Hampshire rates for HCPCS 87350

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; hepatitis Be antigen (HBeAg)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $29.51 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $8.91 / $42.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.94 / $7.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $22.39 / $66.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $7.41 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $43.65 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $8.32 / $16.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $19.95 / $37.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $6.92 / $33.88