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New Mexico 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
$741.31 / $1,584.89 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $478.63 / $3,235.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $3,388.44 / $5,248.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $741.31 / $1,047.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,258.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $891.25 / $1,445.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $707.95 / $1,071.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $436.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $288.40 / $302.00