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Arizona 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
$424.45 / $833.56 / $1,662.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.24 / $486.97 / $2,679.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.55 / $926.78 / $1,525.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.40 / $351.13 / $1,700.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.48 / $731.46 / $1,219.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.84 / $343.94 / $751.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.16 / $437.62 / $833.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.05 / $240.62 / $2,135.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.05 / $238.22 / $250.07