go back

Texas 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
$295.12 / $758.58 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $354.81 / $630.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $208.93 / $257.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $1,318.26 / $2,238.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $229.09 / $562.34
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $630.96 / $2,511.89
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $371.54 / $588.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $891.25 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $323.59 / $912.01
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,090.30 / $3,090.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $446.68 / $1,318.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $338.84 / $630.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $416.87
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $3,235.94 / $3,311.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $512.86 / $1,548.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $371.54 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $173.78 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $239.88 / $346.74
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $416.87