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New Hampshire rates for HCPCS 87483

Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus agalactiae, enterovirus, human parechovirus, herpes simplex virus type 1 and 2, human herpesvirus 6, cytomegalovirus, varicella zoster virus, Cryptococcus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.37 / $2,638.22 / $3,234.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.19 / $204.19 / $325.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.60 / $806.80 / $2,075.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.71 / $270.89 / $270.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.01 / $1,575.07 / $2,153.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.91 / $814.40 / $1,732.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.78 / $604.91 / $1,482.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.02 / $250.07 / $416.78
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.37 / $437.21 / $670.64