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Connecticut 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
$464.23 / $579.25 / $1,465.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.77 / $440.73 / $1,221.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.66 / $717.11 / $1,362.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.21 / $606.35 / $1,283.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.04 / $857.41 / $1,870.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.61 / $443.50 / $1,212.48
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.20 / $659.69 / $1,023.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.78 / $341.36 / $857.55