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Illinois rates for HCPCS 87497

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

Facilitymedian $112 · 10th–90th $49–$4370%10%10th90th$112Professionalmedian $38 · 10th–90th $18–$950%20%10th90th$38$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$51.29 / $112.20 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $39.81 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $114.82 / $446.68
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $29.51 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $102.33 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $57.54 / $87.10
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $85.11 / $489.78
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $33.88 / $89.13