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North Carolina 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
$380.19 / $426.58 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $416.87 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,174.90 / $1,174.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $363.08 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $776.25 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $426.58 / $954.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $588.84 / $1,174.90
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $645.65 / $851.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $295.12 / $602.56
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,344.23
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $3,981.07 / $3,981.07