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Wyoming 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
$488.66 / $488.66 / $488.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.66 / $488.66 / $909.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.89 / $837.89 / $1,005.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.83 / $757.00 / $1,564.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.01 / $977.01 / $977.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.81 / $794.64 / $1,166.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.24 / $293.20 / $682.72