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Pennsylvania 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
$218.83 / $975.92 / $1,545.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.22 / $211.11 / $1,655.40
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,298.25 / $1,729.99 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.81 / $200.81 / $200.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.32 / $391.08 / $854.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.68 / $247.39 / $582.10
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.19 / $347.56 / $489.16
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.24 / $752.72 / $1,872.34
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.67 / $700.06 / $1,545.10
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.09 / $296.07 / $1,063.27
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.80 / $362.30 / $427.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.62 / $428.31 / $854.07
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.53 / $275.06 / $582.10
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.45 / $257.45 / $257.45
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.45 / $257.45 / $262.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.13 / $154.47 / $466.45