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Maryland 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
$238.13 / $729.65 / $962.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.51 / $211.11 / $239.67
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.96 / $231.71 / $305.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.12 / $203.23 / $632.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.45 / $321.81 / $491.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.13 / $151.07 / $234.27
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.72 / $252.68 / $252.68