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Arkansas rates for HCPCS 87903

Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.13 / $760.13 / $1,126.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.19 / $474.00 / $760.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.07 / $557.07 / $557.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.21 / $542.95 / $610.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.45 / $603.40 / $1,242.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.47 / $544.63 / $948.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.66 / $488.66 / $488.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.24 / $398.99 / $819.26