go back

New Hampshire rates for HCPCS G0475

Hiv Antigen/Antibody Combination Assay Screening

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.97 / $57.81 / $214.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.99 / $36.99 / $36.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.61 / $46.61 / $108.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.63 / $15.65 / $18.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.54 / $105.62 / $128.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.66 / $12.66 / $31.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.68 / $42.80 / $120.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $14.45 / $30.47
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $32.24 / $3,000.00