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Montana rates for HCPCS 87497

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.56 / $125.12 / $431.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.34 / $38.54 / $275.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.41 / $57.41 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.41 / $57.41 / $57.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.12 / $72.83 / $244.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.43 / $62.12 / $62.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.12 / $72.83 / $244.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.56 / $38.56 / $62.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.98 / $17.98 / $42.84