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Idaho 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
$257.04 / $257.04 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $134.90 / $275.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $239.88 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $144.54 / $144.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $295.12 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $107.15 / $234.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $144.54 / $257.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $151.36 / $177.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $123.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $288.40 / $512.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $151.36
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $199.53 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $74.13 / $208.93