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Maryland 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 $12 · 10th–90th $12–$220%50%90th$12Professionalmedian $23 · 10th–90th $14–$350%10%20%10th90th$23$0.5$2.0$10.0$50.0$200.0

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $22.91 / $34.67
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $23.44 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $18.20 / $51.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $34.67 / $43.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $22.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $13.18 / $25.70
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $23.44 / $23.44