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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
$134.90 / $630.96 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $371.54 / $707.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $1,445.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $354.81 / $1,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $933.25 / $933.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $416.87 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $812.83 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $309.03 / $741.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $630.96 / $1,995.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $346.74 / $2,137.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $416.87 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $251.19 / $501.19