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Iowa 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
$144.00 / $500.85 / $1,094.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.92 / $223.98 / $249.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.20 / $467.40 / $584.26
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.45 / $465.98 / $692.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.45 / $397.77 / $807.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.47 / $309.20 / $1,363.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.94 / $524.50 / $807.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.20 / $530.35 / $755.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.47 / $154.47 / $623.59
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.45 / $257.45 / $257.45