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Alaska rates for HCPCS 0115U

Respiratory infectious agent detection by nucleic acid (DNA and RNA), 18 viral types and subtypes and 2 bacterial targets, amplified probe technique, including multiplex reverse transcription for RNA targets, each analyte reported as detected or not detected

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,143.80 / $2,066.21 / $3,228.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,881.74 / $2,066.21 / $3,182.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.67 / $760.67 / $760.67
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,319.06 / $1,319.06 / $1,319.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.35 / $275.35 / $886.63
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.73 / $1,018.80 / $1,101.40
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.82 / $619.54 / $619.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.67 / $1,018.80 / $1,319.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.21 / $757.21 / $757.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.35 / $550.70 / $830.79