go back

Connecticut 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
$389.05 / $707.95 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $371.54 / $1,047.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $645.65 / $1,122.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $562.34 / $1,288.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $562.34 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $501.19 / $1,023.29
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $562.34 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $288.40 / $724.44