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Montana rates for HCPCS 87495

Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $28.18 / $144.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $51.29 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $13.80 / $43.65
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $40.74 / $91.20
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $40.74 / $91.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $44.67 / $89.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $47.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $12.59 / $28.18