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Hawaii 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
$343.84 / $389.69 / $500.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.51 / $475.51 / $486.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.59 / $330.59 / $330.59
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.03 / $847.71 / $987.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.46 / $500.14 / $583.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.14 / $572.91 / $809.04
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.78 / $767.70 / $1,390.99