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Massachusetts 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
$154.88 / $489.78 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $229.09 / $645.65
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $302.00 / $812.83
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $263.03 / $1,862.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $630.96 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $239.88 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $416.87 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $275.42 / $676.08
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $3,630.78 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $436.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $426.58
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $302.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $302.00 / $812.83
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $263.03 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $257.04 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $194.98 / $501.19