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Utah 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
$354.81 / $1,905.46 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $380.19 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $426.58 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $588.84 / $933.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,148.15 / $2,570.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $436.52 / $489.78
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $489.78
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $426.58 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $288.40 / $302.00