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New Hampshire rates for HCPCS G0499

Hepatitis B screening in nonpregnant, high-risk individual includes hepatitis B surface antigen (HBSAG), antibodies to HBSAG (anti-HBS) and antibodies to hepatitis B core antigen (anti-HBC), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive HBSAG result

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.26 / $28.27 / $197.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.43 / $28.27 / $28.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.50 / $54.73 / $127.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.31 / $18.37 / $20.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.06 / $102.94 / $124.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.86 / $14.86 / $36.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.36 / $50.24 / $141.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.87 / $16.96 / $70.69
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,525.00 / $5,525.00 / $5,525.00