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Human Herpesvirus 6 Genetic Detection

New Hampshire rates for HCPCS 87531

A laboratory test that checks a sample of blood or tissue for the genetic material of human herpesvirus 6, a common virus most people pick up in early childhood and then carry quietly for life. A probe binds that genetic material directly, with no step that copies it first, and the result says whether it was found in the sample. It is used most often in people whose immune defenses are weakened, where the virus can wake up and cause illness.

Facilitymedian $148 · 10th–90th $72$3630%10%10th90th$148Professionalmedian $55 · 10th–90th $19$1020%20%10th90th$55$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
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$147.91
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$44.67
Typical High
$89.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$112.20
Typical High
$331.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$38.02
Typical High
$54.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$181.97
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$48.98
Typical High
$165.96
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$53.70
Typical High
$117.49