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Michigan 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
$28.84 / $28.84 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $25.12 / $37.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $33.88 / $60.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $22.39 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $16.22 / $117.49
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $52.48
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $28.84 / $40.74
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $15.49 / $41.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $30.20 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $16.98 / $28.18