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Pennsylvania 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
$354.26 / $1,481.72 / $1,953.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.42 / $352.01 / $2,168.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,974.66 / $2,631.34 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.08 / $325.08 / $325.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.53 / $615.77 / $1,383.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.93 / $400.67 / $942.76
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.99 / $562.65 / $791.88
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.37 / $1,134.64 / $1,773.61
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.26 / $1,141.05 / $1,881.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.58 / $479.30 / $2,168.80
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.83 / $625.16 / $833.56
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.52 / $693.39 / $1,383.25
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.42 / $445.16 / $942.76
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.78 / $416.78 / $628.89
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.78 / $416.78 / $628.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.05 / $250.07 / $660.86