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Utah 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
$412.94 / $565.10 / $3,047.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.53 / $443.53 / $443.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.25 / $366.40 / $1,148.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.23 / $498.21 / $762.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.78 / $479.30 / $1,875.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.17 / $499.55 / $545.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.05 / $240.12 / $250.07