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Hawaii 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
$18.77 / $22.52 / $117.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.19 / $23.98 / $31.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.90 / $27.30 / $27.30
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.60 / $40.83 / $47.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.03 / $27.30 / $31.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.30 / $28.02 / $38.93
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.48 / $36.43 / $51.19