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Georgia 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
$371.54 / $758.58 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $457.09 / $660.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $588.84 / $851.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $416.87 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $794.33 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $501.19 / $1,288.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $691.83 / $3,801.89
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $436.52 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $295.12 / $812.83