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Rhode Island 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
$478.63 / $954.99 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $371.54 / $1,047.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $512.86 / $562.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $309.03 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,288.25 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $323.59 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $288.40 / $831.76