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Maine 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
$22.91 / $22.91 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $19.05 / $33.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $186.21 / $204.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $13.80 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $51.29 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $22.91 / $30.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $27.54
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $37.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $23.44 / $52.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $22.91 / $39.81