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New Hampshire rates for HCPCS 87636

Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.62 / $187.20 / $544.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.62 / $142.63 / $142.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.76 / $260.87 / $556.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.05 / $92.70 / $92.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.41 / $447.79 / $521.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.92 / $241.72 / $593.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.63 / $207.01 / $469.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.48 / $99.28 / $142.63
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.63 / $171.17 / $251.62