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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $22.91 / $28.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $107.15 / $173.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $33.11 / $42.66
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $29.51 / $29.51
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $29.51 / $29.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $19.05 / $67.61