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Iowa rates for HCPCS 87496

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.33 / $82.95 / $240.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.02 / $30.53 / $46.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.14 / $63.32 / $79.15
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.09 / $63.51 / $149.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.09 / $54.36 / $110.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $42.14 / $185.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.11 / $71.48 / $110.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.14 / $72.29 / $102.92
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.14 / $35.09 / $62.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $98.01
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.09 / $35.09 / $35.09