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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
$794.33 / $1,479.11 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $467.74 / $2,187.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $602.56 / $660.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $363.08 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,513.56 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $380.19 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $407.38 / $977.24