go back

Illinois rates for HCPCS 87903

Nfct Phexyp Resist Tiss Cul Hiv First 1-10 Drugs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.70 / $791.63 / $1,342.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.15 / $415.36 / $692.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.46 / $2,607.66 / $6,464.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $337.18 / $376.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.85 / $1,193.99 / $2,249.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $595.38 / $934.99
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.43 / $781.86 / $1,244.13
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.26 / $635.26 / $635.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.09 / $664.58 / $732.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.24 / $366.10 / $682.72