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New Hampshire rates for HCPCS 87391

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-2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.19 / $64.40 / $153.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.80 / $20.11 / $20.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.03 / $42.39 / $98.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.76 / $14.23 / $16.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.98 / $91.81 / $118.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.41 / $12.67 / $31.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.72 / $38.92 / $77.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $13.14 / $14.79
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.18 / $17.80 / $22.65