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Nebraska rates for HCPCS 87491

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.11 / $151.41 / $298.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.16 / $63.00 / $118.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.55 / $17.55 / $17.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.36 / $104.38 / $201.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.67 / $55.78 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.00 / $143.00 / $143.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.11 / $89.83 / $164.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.76 / $70.18 / $167.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $289.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.11 / $72.29 / $110.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.11 / $75.23 / $100.53
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.06 / $59.65 / $71.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $21.05 / $31.88