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Tennessee 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
$363.08 / $457.09 / $2,089.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $398.11 / $758.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $537.03 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $1,230.27 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $363.08 / $1,071.52
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,344.23
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $489.78 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $338.84 / $676.08