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Tennessee 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
$22.39 / $28.18 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $23.99 / $37.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $27.54 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $67.61 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $18.62 / $45.71
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $223.87 / $223.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $16.98 / $30.20