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New Hampshire rates for HCPCS 87491

Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique

Facilitymedian $158 · 10th–90th $49$4070%10%10th90th$158Professionalmedian $35 · 10th–90th $23$1120%10%10th90th$35$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $190.55 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $31.62 / $117.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $67.61 / $204.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $22.91 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $131.83 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $37.15 / $102.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $67.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $35.48 / $104.71