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Arizona 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
$445.26 / $977.32 / $1,949.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.39 / $392.88 / $3,142.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.27 / $1,128.98 / $1,788.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.04 / $411.69 / $1,994.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.57 / $857.60 / $1,429.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.33 / $439.65 / $787.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.14 / $586.39 / $1,198.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.24 / $286.74 / $4,017.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.24 / $279.57 / $299.64