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Massachusetts 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
$144.54 / $354.81 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $114.82 / $380.19
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $181.97 / $446.68
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $141.25 / $537.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $316.23 / $457.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $134.90 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $218.78 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $169.82 / $371.54
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $288.40 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $199.53 / $295.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $263.03
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $162.18 / $302.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $181.97 / $446.68
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $141.25 / $562.34
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $162.18 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $141.25 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $109.65 / $269.15