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Georgia 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

Facilitymedian $191 · 10th–90th $95–$4790%10%20%10th90th$191Professionalmedian $115 · 10th–90th $76–$2450%10%20%10th90th$115$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $245.47 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $117.49 / $263.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $85.11 / $229.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $190.55 / $251.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $95.50 / $181.97
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $199.53 / $309.03
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $186.21 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $234.42 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $144.54 / $371.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $186.21 / $1,122.02
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $177.83 / $204.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $128.82 / $158.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $83.18 / $190.55