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Maine rates for HCPCS 87634

Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.20 / $138.28 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.86 / $71.93 / $105.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.93 / $103.19 / $620.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.12 / $42.12 / $82.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.72 / $149.72 / $149.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.98 / $74.23 / $107.59
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.88 / $99.88 / $99.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.20 / $70.20 / $70.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.20 / $128.76 / $199.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.86 / $71.22 / $90.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.12 / $52.00 / $125.66