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Tennessee rates for HCPCS 87506

Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 6-11 targets

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $380.19 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $213.80 / $524.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $131.83 / $562.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $263.03 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $588.84 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $165.96 / $446.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,258.93
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $263.03 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $158.49 / $288.40