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Arizona 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
$27.36 / $60.06 / $119.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.12 / $23.42 / $193.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.27 / $69.38 / $109.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $25.30 / $122.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.92 / $52.70 / $87.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.48 / $26.94 / $30.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.13 / $30.84 / $52.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.77 / $12.61 / $209.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.77 / $12.61 / $18.02