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Arizona rates for HCPCS 87631

Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 3-5 targets

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $457.09 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $138.04 / $630.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $141.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $208.93 / $389.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $125.89 / $239.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $117.49 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $128.82 / $239.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $158.49 / $323.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $74.13 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $141.25 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $74.13 / $85.11