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Massachusetts 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
$339.29 / $958.59 / $1,635.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.57 / $337.59 / $486.97
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.18 / $587.19 / $1,296.41
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.38 / $416.78 / $1,652.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.00 / $1,169.74 / $2,045.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.46 / $830.34 / $1,609.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.62 / $439.59 / $1,125.72
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.91 / $833.56 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.54 / $583.49 / $887.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.78 / $416.78 / $1,290.73
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.27 / $479.11 / $497.78
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.25 / $78.25 / $78.25
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.57 / $1,979.71 / $1,979.71
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.38 / $250.07 / $2,199.80
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.02 / $423.64 / $950.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.38 / $250.07 / $784.89