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Maine rates for HCPCS 87483

Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus agalactiae, enterovirus, human parechovirus, herpes simplex virus type 1 and 2, human herpesvirus 6, cytomegalovirus, varicella zoster virus, Cryptococcus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.58 / $416.78 / $1,041.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.59 / $337.59 / $572.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.32 / $612.66 / $2,087.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.71 / $166.71 / $277.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.99 / $888.99 / $888.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.30 / $421.62 / $711.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.78 / $416.78 / $420.95
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.78 / $416.78 / $1,041.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.59 / $416.78 / $469.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.02 / $250.07 / $510.48