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Vermont 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
$87.10 / $213.80 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $37.15 / $181.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $138.04 / $446.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $72.44 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $60.26 / $87.10
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $35.48 / $35.48
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $47.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $48.98 / $95.50