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Idaho 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
$575.44 / $812.83 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $389.05 / $812.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $758.58 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $426.58 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $870.96 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $309.03 / $758.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $426.58 / $977.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $436.52 / $524.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $363.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $851.14 / $1,513.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $436.52
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $602.56 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $239.88 / $691.83