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Nebraska 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
$19.82 / $85.22 / $231.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.82 / $19.82 / $193.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.36 / $104.38 / $201.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.36 / $47.75 / $49.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.04 / $55.06 / $76.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.02 / $61.20 / $142.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.42 / $18.02 / $209.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.39 / $55.06 / $76.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.04 / $54.31 / $76.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.42 / $18.02 / $57.08