go back

Louisiana 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
$517.98 / $673.37 / $2,395.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.20 / $591.28 / $760.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.29 / $965.59 / $1,814.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.23 / $537.53 / $859.48
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $488.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.31 / $1,352.85 / $3,018.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.49 / $496.47 / $1,053.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.24 / $293.20 / $874.21