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North Dakota 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
$291.75 / $291.75 / $750.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.75 / $486.97 / $541.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.36 / $839.81 / $937.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.96 / $478.96 / $703.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.07 / $370.48 / $750.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.07 / $604.33 / $833.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.05 / $533.48 / $708.53