go back

Alaska rates for HCPCS 87495

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $213.80 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $28.84 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $31.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $134.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $30.20 / $97.72
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $112.20 / $128.82
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $48.98 / $144.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $26.92 / $31.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $60.26 / $91.20