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New Hampshire rates for HCPCS 87389

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; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.78 / $98.18 / $230.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.03 / $25.79 / $58.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.61 / $46.61 / $108.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.63 / $15.65 / $18.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.93 / $122.53 / $142.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.46 / $17.39 / $34.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.68 / $42.80 / $97.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $14.45 / $66.09
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.97 / $26.67 / $38.76