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Tennessee 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
$329.25 / $457.92 / $1,137.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.58 / $333.42 / $500.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.39 / $208.39 / $1,020.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.29 / $567.17 / $1,077.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.91 / $1,043.36 / $1,613.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.84 / $308.72 / $1,009.75
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.57 / $1,979.71 / $1,979.71
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,135.73 / $2,199.80 / $3,125.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.05 / $286.45 / $572.91