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Iowa 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
$526.78 / $950.65 / $2,076.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.52 / $425.13 / $474.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.88 / $887.81 / $1,109.76
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.66 / $855.16 / $1,288.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.66 / $755.49 / $1,531.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.20 / $586.88 / $2,587.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.39 / $995.55 / $1,531.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.88 / $1,006.64 / $1,433.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.20 / $293.20 / $1,004.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.66 / $488.66 / $488.66