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Missouri 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 / $636.98 / $934.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.75 / $445.95 / $623.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.78 / $437.62 / $1,923.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.82 / $388.38 / $1,055.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.98 / $874.23 / $2,324.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.33 / $311.12 / $724.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.60 / $654.34 / $1,979.71
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 / $540.15