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Vermont 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
$142.63 / $240.56 / $550.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.62 / $163.19 / $548.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.24 / $177.15 / $271.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.63 / $142.63 / $178.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.00 / $280.00 / $280.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.76 / $214.72 / $353.54
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.00 / $280.00 / $280.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.76 / $177.76 / $353.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.88 / $160.06 / $641.84