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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
$30.03 / $30.03 / $75.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.32 / $24.32 / $30.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.06 / $40.09 / $202.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.01 / $12.01 / $25.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.89 / $45.89 / $64.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $30.02 / $31.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.03 / $30.03 / $30.33
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.03 / $30.03 / $75.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.32 / $30.03 / $30.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.39 / $28.02 / $47.81