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Tennessee 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 / $323.59 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $134.90 / $288.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $75.86 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $141.25 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $338.84 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $95.50 / $281.84
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,071.52 / $1,071.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $141.25 / $141.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $89.13 / $177.83