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Massachusetts 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
$467.74 / $1,122.02 / $2,089.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $467.74 / $1,479.11
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $691.83 / $1,737.80
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $512.86 / $3,981.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,202.26 / $1,905.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $831.76 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $588.84 / $1,288.25
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $3,630.78 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $831.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $1,047.13
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $691.83 / $1,737.80
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $512.86 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $489.78 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $489.78 / $1,000.00