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Alaska rates for HCPCS 87633

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, 12-25 targets

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $831.76 / $2,951.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $407.38 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $645.65
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $1,862.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $1,348.96
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,621.81 / $2,691.53
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $933.25 / $933.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $1,148.15 / $1,995.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $416.87 / $645.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $831.76 / $1,258.93