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Missouri 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
$425.13 / $656.91 / $1,133.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.38 / $425.13 / $561.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.66 / $513.09 / $2,255.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.31 / $611.73 / $1,314.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.61 / $1,024.99 / $2,725.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $465.20 / $1,892.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.13 / $784.77 / $2,332.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.24 / $409.63 / $4,017.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.24 / $299.64 / $806.18