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Wisconsin 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
$36.31 / $67.61 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $25.12 / $44.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $81.28 / $83.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $97.72 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $52.48 / $93.33
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $100.00 / $158.49
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $199.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $38.02 / $104.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $18.20 / $208.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $50.12 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $75.86 / $100.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $141.25 / $141.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $151.36 / $208.93
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.42 / $64.57
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $67.61 / $162.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $18.20 / $45.71