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Maryland 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
$317.52 / $370.28 / $587.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.27 / $312.58 / $486.97
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.10 / $416.78 / $532.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.40 / $320.99 / $1,024.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.78 / $500.14 / $795.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.71 / $240.62 / $366.77
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.07 / $409.07 / $409.07