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Utah 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
$77.98 / $288.75 / $535.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.93 / $77.98 / $77.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $61.71 / $193.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.96 / $75.37 / $128.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.92 / $65.59 / $85.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.20 / $80.73 / $315.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.92 / $84.19 / $96.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.48 / $36.40 / $75.00