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Utah rates for HCPCS 87632

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, 6-11 targets

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.88 / $744.06 / $1,513.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.88 / $220.88 / $243.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.39 / $191.70 / $600.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.32 / $261.67 / $464.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.06 / $250.77 / $960.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.21 / $261.33 / $318.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.59 / $123.22 / $130.84