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Nebraska 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
$158.49 / $354.81 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $199.53 / $912.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $89.13 / $251.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $295.12 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $223.87 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $275.42 / $338.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $316.23 / $562.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $85.11 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $134.90 / $288.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $85.11 / $141.25