go back

Kansas 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
$97.72 / $275.42 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $138.04 / $870.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $74.13 / $186.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $229.09 / $239.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $257.04 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $134.90 / $269.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $173.78 / $245.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $104.71 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $141.25 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $85.11 / $186.21