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Vermont rates for HCPCS 87495

Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $28.18 / $33.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $354.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $34.67 / $67.61
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $31.62 / $69.18