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Missouri 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
$223.97 / $346.09 / $856.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.66 / $223.98 / $296.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.45 / $270.32 / $1,188.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.14 / $322.29 / $692.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.03 / $540.01 / $1,435.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.65 / $245.18 / $997.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.98 / $413.47 / $1,228.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.13 / $215.81 / $1,820.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.13 / $171.63 / $359.69