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New Hampshire 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
$561.96 / $1,783.57 / $3,420.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.15 / $465.49 / $556.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.85 / $945.95 / $2,433.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.46 / $317.62 / $317.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.97 / $2,143.67 / $3,415.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.12 / $954.51 / $2,030.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.66 / $709.24 / $1,738.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.24 / $293.20 / $409.63
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.74 / $579.45 / $844.23