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Iowa rates for HCPCS 87497

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

Facilitymedian $95 · 10th–90th $43–$4570%10%10th90th$95Professionalmedian $41 · 10th–90th $31–$2820%10%20%10th90th$41$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
$32.36 / $102.33 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $40.74 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $81.28 / $102.33
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $104.71 / $398.11
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $64.57 / $158.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $56.23 / $501.19
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $54.95
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $46.77 / $75.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $97.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $36.31 / $169.82
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66