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Illinois 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)

Facilitymedian $50 · 10th–90th $30$890%10%10th90th$50Professionalmedian $23 · 10th–90th $4$480%20%10th90th$23$5.0$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $50.12 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $23.99 / $46.77
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $102.33 / $363.08
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $19.95 / $22.39
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $63.10 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $33.88 / $48.98
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $54.95 / $117.49
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $58.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $17.38 / $30.90