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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
$22.52 / $37.54 / $94.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.52 / $23.42 / $28.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.62 / $30.03 / $52.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.73 / $67.98 / $93.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.37 / $22.61 / $50.79
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.25 / $142.63 / $142.63
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.84 / $209.84 / $225.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.61 / $16.93 / $30.03