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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
$218.78 / $512.86 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $204.17 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $190.55 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $263.03 / $467.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $724.44 / $1,122.02
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $218.78 / $309.03
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $245.47
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $123.03 / $131.83