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Montana rates for HCPCS 87490

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $23.99 / $37.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $64,565.42 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $38.90 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $13.80 / $33.11
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $30.90 / $69.18
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $30.90 / $69.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $38.90 / $67.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.42 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $9.55 / $22.91