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Vermont 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 $105 · 10th–90th $30–$1740%20%10th90th$105Professionalmedian $17 · 10th–90th $9–$340%20%10th90th$17$10.0$20.0$50.0$100.0

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
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $16.98 / $23.99
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $107.15 / $173.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $34.67 / $42.66
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $29.51 / $29.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $29.51 / $64.57