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Indiana rates for HCPCS 87496

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

Facilitymedian $41 · 10th–90th $35–$1050%20%10th90th$41Professionalmedian $28 · 10th–90th $19–$420%20%10th90th$28$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $48.98 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $28.18 / $40.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $104.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $17.38 / $35.48
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $35.48 / $48.98
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $40.74 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $35.48 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $32.36 / $95.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $35.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $23.44 / $43.65