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North Dakota 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
$100.00 / $331.13 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $134.90 / $389.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $275.42 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $204.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $109.65 / $257.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $181.97 / $288.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $158.49 / $239.88