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Arizona rates for HCPCS 87901

Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.08 / $379.48 / $1,058.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.49 / $206.99 / $1,655.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.62 / $576.05 / $942.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.12 / $216.90 / $1,050.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.20 / $451.82 / $753.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.96 / $215.68 / $415.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.74 / $308.94 / $631.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.13 / $151.07 / $1,820.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.13 / $147.51 / $157.87