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New Jersey 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
$199.22 / $498.05 / $1,544.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.22 / $222.77 / $307.94
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.40 / $622.40 / $622.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.39 / $567.29 / $1,179.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.72 / $300.08 / $719.39
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.22 / $270.32 / $373.30
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.22 / $8,702.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.22 / $180.22 / $180.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.13 / $154.47 / $382.41