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Utah 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
$21.88 / $123.03 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $21.88 / $36.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.70 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $31.62 / $53.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $74.13 / $138.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $28.18 / $31.62
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.42 / $29.51
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $25.70 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.30 / $17.38