go back

Michigan 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
$464.23 / $464.23 / $724.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.25 / $464.23 / $464.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.41 / $552.76 / $970.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.18 / $366.50 / $392.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.33 / $400.66 / $1,099.49
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.02 / $464.23 / $853.02
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.79 / $650.57 / $744.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.61 / $445.07 / $546.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.24 / $399.98 / $682.72