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Michigan 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
$32.36 / $36.31 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $30.90 / $52.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $38.90 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $26.30 / $26.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $35.48 / $35.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $45.71 / $47.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $42.66 / $138.04
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $41.69 / $134.90
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $41.69 / $66.07
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $26.92 / $48.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $35.48 / $41.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $28.84 / $47.86