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Indiana 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
$400.70 / $561.96 / $1,803.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.04 / $400.70 / $464.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.04 / $465.73 / $1,465.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.31 / $241.31 / $342.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.66 / $635.26 / $684.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.66 / $586.39 / $732.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.13 / $488.66 / $1,263.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.95 / $612.50 / $1,198.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.24 / $293.20 / $537.53