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Oklahoma 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
$26.32 / $48.24 / $160.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.81 / $26.32 / $31.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $21.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.64 / $90.37 / $130.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.34 / $33.34 / $33.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.81 / $31.29 / $57.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.56 / $22.99 / $65.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.27 / $49.13 / $71.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.74 / $20.60 / $397.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.74 / $20.22 / $30.16