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New Hampshire rates for HCPCS 87390

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $64.57 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.85 / $79.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $46.77 / $138.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $15.49 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $91.20 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $12.59 / $34.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $41.69 / $77.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $14.45 / $53.70