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New Hampshire rates for HCPCS 87420

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; respiratory syncytial virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.06 / $41.83 / $134.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.84 / $13.06 / $13.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.88 / $26.93 / $62.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.56 / $9.03 / $10.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.73 / $61.01 / $81.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.22 / $11.52 / $20.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.88 / $24.72 / $49.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $8.35 / $9.61
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.94 / $13.58 / $19.30