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Indiana 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
$416.87 / $691.83 / $2,454.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $338.84 / $426.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $1,258.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $478.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $501.19 / $562.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $457.09 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $416.87 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $380.19 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $251.19 / $457.09