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West Virginia 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
$112.20 / $281.84 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $120.23 / $263.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $190.55 / $234.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $190.55 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $229.09 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $691.83 / $691.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $295.12 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $74.13 / $177.83