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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
$366.50 / $610.83 / $1,710.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.50 / $381.15 / $464.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.27 / $666.64 / $1,276.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.24 / $1,245.99 / $1,926.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.50 / $435.75 / $1,198.60
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.27 / $2,332.80 / $2,332.80
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,716.07 / $4,017.97 / $4,017.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.24 / $379.32 / $732.99