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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
$44.44 / $207.24 / $352.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.60 / $100.60 / $193.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.96 / $82.96 / $82.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $14.70 / $31.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.86 / $143.86 / $143.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.03 / $30.03 / $96.70
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.11 / $111.11 / $129.35
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.03 / $67.56 / $312.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.96 / $111.11 / $143.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $27.03 / $31.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.02 / $60.06 / $90.61