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New Hampshire rates for HCPCS 87631

Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 3-5 targets

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $204.17 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $114.82 / $346.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $275.42 / $812.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $93.33 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $524.81 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $181.97 / $588.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $269.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $85.11 / $223.87