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Arkansas rates for HCPCS 87904

Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.54 / $40.54 / $60.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.46 / $25.29 / $40.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.72 / $29.72 / $29.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.08 / $34.77 / $39.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.66 / $32.18 / $66.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.45 / $31.00 / $57.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $21.29 / $50.57