go back

North Dakota rates for HCPCS 87903

Nfct Phexyp Resist Tiss Cul Hiv First 1-10 Drugs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.06 / $342.06 / $879.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.06 / $459.34 / $459.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.56 / $984.65 / $1,099.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.67 / $561.67 / $824.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.20 / $371.38 / $879.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.20 / $708.56 / $4,017.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.24 / $586.39 / $837.89