go back

Kansas 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
$134.72 / $775.51 / $1,260.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.58 / $404.28 / $541.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$744.21 / $923.33 / $1,398.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.91 / $468.08 / $468.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.91 / $784.56 / $2,382.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.11 / $684.62 / $832.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.76 / $540.96 / $744.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.05 / $343.75 / $2,135.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.05 / $250.07 / $372.39