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California 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
$199.53 / $407.38 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $151.36 / $660.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $281.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $331.13 / $707.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $173.78 / $380.19
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $398.11 / $1,737.80
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $141.25 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $251.19 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $120.23 / $407.38
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $141.25 / $190.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $158.49 / $251.19
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,071.52 / $1,071.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $177.83 / $416.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $151.36 / $380.19
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $85.11 / $141.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $141.25 / $141.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $74.13 / $275.42