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Maine 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
$30.20 / $30.20 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $22.91 / $43.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $186.21 / $204.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $18.20 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $67.61 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $30.20 / $30.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $36.31
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $48.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $30.20 / $72.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $30.20 / $45.71