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Idaho 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
$881.93 / $881.93 / $1,270.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.06 / $952.89 / $952.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.16 / $1,016.42 / $1,905.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.20 / $364.15 / $898.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.96 / $855.88 / $1,048.18
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.66 / $498.43 / $610.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.82 / $439.79 / $952.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.99 / $1,099.49 / $1,798.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.24 / $859.51 / $959.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.24 / $290.68 / $797.81