go back

Maryland 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
Professional
Modifier
Low / Median / High Price
$361.61 / $366.50 / $454.92
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.93 / $439.79 / $580.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.70 / $385.60 / $1,200.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.66 / $610.83 / $932.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.01 / $293.20 / $444.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.33 / $479.61 / $479.61