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Arizona rates for HCPCS 87503

Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, each additional influenza virus type or sub-type beyond 2 (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $89.13 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $23.44 / $53.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $52.48 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $25.70 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $24.55 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $26.30 / $42.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $31.62 / $52.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.30 / $144.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $29.51 / $34.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.30 / $17.38