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New Hampshire rates for HCPCS 87400

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; Influenza, A or B, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.25 / $41.83 / $166.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.84 / $13.06 / $30.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.24 / $27.35 / $63.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $9.18 / $10.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.22 / $61.71 / $81.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.22 / $11.80 / $20.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.18 / $25.11 / $50.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $8.48 / $9.61
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.94 / $13.58 / $19.30