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Washington 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
$42.84 / $184.00 / $764.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.71 / $38.97 / $83.54
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.98 / $74.97 / $299.24
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.56 / $83.42 / $506.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.64 / $87.73 / $137.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.75 / $48.10 / $61.61
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.84 / $62.97 / $133.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.84 / $75.59 / $133.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.13 / $41.94 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.84 / $42.84 / $89.96
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.84 / $74.97 / $128.52
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.56 / $38.56 / $38.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.98 / $70.69 / $117.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $83.42 / $99.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.98 / $17.98 / $47.98