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Wisconsin rates for HCPCS 87497

Iadna Cytomegalovirus Quantification

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.41 / $228.42 / $510.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.27 / $51.41 / $168.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.11 / $111.38 / $117.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.15 / $42.84 / $184.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.84 / $63.63 / $120.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.84 / $44.98 / $55.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.05 / $137.94 / $211.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.15 / $115.36 / $131.09
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.56 / $54.84 / $149.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.56 / $81.40 / $380.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.62 / $37.52 / $506.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.84 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.56 / $54.84 / $149.94
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.80 / $111.42 / $181.23
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.93 / $380.47 / $380.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.14 / $227.89 / $506.52
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.23 / $91.23 / $146.16
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.16 / $170.77 / $233.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.14 / $35.26 / $125.69