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Missouri 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
$30.53 / $61.06 / $238.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.83 / $31.59 / $40.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.09 / $36.84 / $161.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $43.92 / $94.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.25 / $73.61 / $195.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $33.54 / $168.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.53 / $58.84 / $167.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.74 / $29.42 / $397.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.74 / $26.00 / $57.91