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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
$162.18 / $524.81 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $120.23 / $128.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $169.82 / $218.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $186.21 / $263.03
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $173.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $144.54 / $346.74