go back

Vermont rates for HCPCS 87505

Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 3-5 targets

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.76 / $254.76 / $520.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.17 / $127.84 / $824.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.29 / $179.45 / $219.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.00 / $189.00 / $214.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.68 / $198.96 / $320.29
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.00 / $189.00 / $214.73
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.68 / $198.96 / $320.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.04 / $144.34 / $577.30