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New Jersey rates for HCPCS 87497

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

Facilitymedian $98 · 10th–90th $43–$4680%10%10th90th$98Professionalmedian $38 · 10th–90th $28–$710%20%40%10th90th$38$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$42.66 / $83.18 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $38.90 / $70.79
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $354.81 / $3,548.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $95.50 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $42.66 / $97.72
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $47.86 / $81.28
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $10,471.29 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $42.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $42.66 / $87.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $25.70 / $63.10