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Montana rates for HCPCS 87497

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

Facilitymedian $123 · 10th–90th $54–$4270%20%10th90th$123Professionalmedian $40 · 10th–90th $29–$1580%20%10th90th$40$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$117.49 / $138.04 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $38.90 / $158.49
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $87,096.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $72.44 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $61.66
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $60.26 / $134.90
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $60.26 / $134.90
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $81.28 / $245.47
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $69.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $24.55 / $60.26