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Oklahoma 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
$366.50 / $671.68 / $1,172.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.61 / $361.61 / $522.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.29 / $90.37 / $130.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.23 / $464.23 / $464.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.63 / $435.70 / $798.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.74 / $320.45 / $918.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.69 / $684.12 / $977.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.24 / $286.74 / $4,017.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.24 / $251.66 / $542.95