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Wisconsin 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

Facilitymedian $389 · 10th–90th $158$7940%10%10th90th$389Professionalmedian $138 · 10th–90th $85$4680%10%10th90th$138$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $389.05 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $123.03 / $389.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $380.19 / $389.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $602.56
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $141.25 / $213.80
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $141.25 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $457.09 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $245.47 / $446.68
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $724.44 / $1,096.48
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $954.99
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $389.05 / $575.44
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $141.25 / $398.11
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $141.25
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $363.08
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $239.88 / $407.38
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $354.81 / $501.19
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $676.08 / $676.08
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $707.95 / $707.95
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $302.00
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $512.86 / $870.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $114.82 / $309.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $104.71 / $707.95