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New Hampshire rates for HCPCS 87563

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

Facilitymedian $126 · 10th–90th $28–$6030%10%10th90th$126Professionalmedian $35 · 10th–90th $23–$680%20%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
$28.18 / $223.87 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $30.20 / $52.48
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
$14.13 / $22.91 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $128.82 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $36.31 / $144.54
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 / $100.00