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Vermont 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
$18.20 / $20.89 / $33.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $154.88 / $354.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $34.67 / $51.29
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $27.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $31.62 / $54.95