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New Hampshire 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
$72.44 / $75.86 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $22.91 / $89.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $57.54 / $173.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $19.50 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $112.20 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $31.62 / $125.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $57.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $18.20 / $58.88