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New Jersey 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
$630.96 / $1,023.29 / $3,019.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $416.87 / $891.25
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $9,120.11 / $9,120.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $1,071.52 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $524.81 / $1,122.02
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $549.54 / $933.25
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $9,549.93 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $489.78 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $295.12 / $707.95