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Maine 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
$29.51 / $29.51 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $21.88 / $29.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $87.10 / $95.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $13.18 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $29.51 / $56.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $34.67
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $29.51 / $47.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $28.18 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $19.50 / $29.51