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Montana 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
Professional
Modifier
Low / Median / High Price
$21.88 / $26.92 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $50.12 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $42.66
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $39.81 / $89.13
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $39.81 / $89.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $50.12 / $165.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $26.30 / $46.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $12.30 / $29.51