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Rhode Island 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
$799.97 / $1,464.41 / $1,464.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.70 / $465.49 / $508.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.54 / $601.04 / $664.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.50 / $366.50 / $930.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.36 / $1,166.36 / $2,050.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.27 / $720.27 / $1,633.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.24 / $409.63 / $966.79