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West Virginia 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
$206.08 / $383.40 / $1,124.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.58 / $354.26 / $486.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.78 / $562.65 / $687.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.78 / $562.65 / $562.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.64 / $500.14 / $1,250.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.20 / $781.78 / $2,008.88
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.00 / $666.79 / $2,164.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.55 / $240.62 / $773.43