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Maine rates for HCPCS 87637

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $263.03 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $288.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $660.69 / $724.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $81.28 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $144.54 / $288.40
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $169.82
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $245.47 / $602.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $144.54 / $288.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $144.54 / $218.78