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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
$35.48 / $45.71 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $21.88 / $39.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $29.51 / $40.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $26.30 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $34.67 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $34.67 / $75.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $23.44 / $26.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $17.78 / $52.48