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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
$335.78 / $390.93 / $1,274.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.95 / $390.93 / $537.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$827.81 / $1,134.99 / $1,134.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.70 / $366.50 / $926.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.31 / $680.19 / $1,282.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.73 / $439.65 / $855.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.82 / $495.00 / $953.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.82 / $389.82 / $641.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.13 / $293.20 / $503.32
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.27 / $2,332.80 / $2,332.80
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,716.07 / $4,017.97 / $4,017.97