go back

Maine 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
$141.25 / $263.03 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $134.90 / $281.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $660.69 / $724.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $85.11 / $102.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $144.54 / $346.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $169.82
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $263.03 / $602.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $147.91 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $141.25 / $181.97