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South 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
$21.02 / $23.42 / $230.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.42 / $23.42 / $26.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.43 / $79.95 / $136.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $30.03 / $41.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.58 / $87.06 / $171.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.60 / $14.04 / $37.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.42 / $37.00 / $51.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $16.52 / $16.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.61 / $17.13 / $27.35