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New Hampshire rates for HCPCS 87451

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; polyvalent for multiple organisms, each polyvalent antiserum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.09 / $27.90 / $73.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $8.72 / $8.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.29 / $20.35 / $47.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $6.83 / $8.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.97 / $48.72 / $65.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.44 / $6.93 / $14.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.26 / $18.68 / $37.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $6.31 / $6.41
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $9.63 / $12.25