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New Hampshire rates for HCPCS 87637

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $316.23 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $354.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $194.98 / $229.09
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
$57.54 / $93.33 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $323.59 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $154.88 / $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
$100.00 / $165.96 / $316.23