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New Hampshire rates for HCPCS 87503

Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, each additional influenza virus type or sub-type beyond 2 (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $74.13 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $20.89 / $26.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $56.23 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $19.05 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $109.65 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $30.90 / $120.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $56.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $17.38 / $37.15