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New Hampshire rates for HCPCS 87901

Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $446.68 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $199.53 / $645.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $501.19 / $1,479.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $165.96 / $239.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $977.24 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $380.19 / $1,071.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $154.88 / $380.19