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Delaware 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
$561.96 / $561.96 / $561.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.39 / $405.58 / $508.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.63 / $317.63 / $317.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.58 / $394.23 / $982.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.24 / $409.63 / $1,075.05