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Illinois 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
$257.04 / $478.63 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $223.87 / $501.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $691.83 / $2,691.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $177.83 / $199.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $575.44 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $316.23 / $512.86
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $489.78 / $851.14
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $309.03 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $186.21 / $302.00