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North Carolina 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
$23.99 / $31.62 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $23.99 / $37.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $87.10 / $87.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $25.70 / $77.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $47.86 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $23.44 / $44.67
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.18 / $28.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $33.11 / $56.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $21.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $33.11 / $35.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $18.20 / $34.67
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $223.87