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Vermont 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
$338.84 / $371.54 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $131.83 / $151.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $316.23 / $602.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $199.53 / $263.03
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $173.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $144.54 / $346.74