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Idaho 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
$415.80 / $597.41 / $597.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.22 / $502.03 / $502.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.81 / $535.49 / $1,004.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.16 / $191.96 / $473.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.00 / $395.96 / $552.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.45 / $262.60 / $321.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.95 / $231.71 / $502.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.18 / $499.45 / $926.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.32 / $452.59 / $505.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.13 / $153.15 / $303.68