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Vermont 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
Professional
Modifier
Low / Median / High Price
$77.62 / $218.78 / $269.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,096.48 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $1,230.27 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $446.68 / $645.65
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $186.21 / $691.83