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Oklahoma 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
$107.15 / $257.04 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $100.00 / $147.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $70.79 / $141.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $93.33 / $131.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $114.82 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $128.82 / $234.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $190.55 / $251.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $74.13 / $213.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $141.25 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $74.13 / $104.71