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California rates for HCPCS 87497

Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification

Facilitymedian $158 · 10th–90th $47$4370%5%10th90th$158Professionalmedian $50 · 10th–90th $33$2340%10%10th90th$50$10.0$50.0$200.0$1.0K$5.0K

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
$50.12 / $204.17 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $50.12 / $281.84
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $100.00 / $213.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $48.98 / $112.20
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $251.19 / $676.08
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $48.98 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $77.62 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $36.31 / $134.90
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $43.65 / $57.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $46.77 / $97.72
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $380.19
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $501.19
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $66.07 / $128.82
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $46.77 / $114.82
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $47.86 / $575.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $42.66 / $42.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $25.70 / $95.50