go back

Alaska rates for HCPCS 87490

Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.67 / $156.99 / $266.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.38 / $76.20 / $146.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.86 / $62.86 / $62.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $14.70 / $31.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.98 / $108.98 / $108.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.75 / $22.75 / $73.26
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.63 / $87.59 / $129.35
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.48 / $51.19 / $51.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.86 / $87.59 / $129.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $20.48 / $31.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.02 / $49.52 / $68.64