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Maine rates for HCPCS 87636

Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.68 / $142.62 / $415.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.62 / $142.63 / $213.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.10 / $666.23 / $776.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.05 / $68.52 / $103.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.26 / $159.46 / $194.64
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.00 / $217.00 / $217.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.63 / $142.63 / $144.06
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.00 / $154.94 / $605.32
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.62 / $142.63 / $164.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.56 / $86.77 / $216.93