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Minnesota 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
$64.57 / $389.05 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $389.05 / $1,122.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $416.87 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,621.81 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $602.56 / $851.14
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,445.44 / $3,019.95
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $794.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $489.78 / $933.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $288.40 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $346.74 / $891.25