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Wyoming 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
$89.13 / $457.09 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $102.33 / $245.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $263.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $218.78 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $89.13 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $74.13 / $177.83