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Pennsylvania 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
$72.31 / $254.00 / $322.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.46 / $73.65 / $429.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.31 / $398.85 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.76 / $54.76 / $54.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.62 / $103.51 / $232.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.96 / $67.36 / $129.41
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.77 / $94.77 / $133.38
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.86 / $186.74 / $356.98
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.64 / $209.88 / $314.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.86 / $81.90 / $395.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.31 / $116.79 / $232.53
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.08 / $71.01 / $150.66
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.33 / $95.33 / $95.33
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.33 / $95.33 / $95.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.48 / $42.12 / $105.30