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Connecticut 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
$24.77 / $30.90 / $78.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.35 / $23.51 / $65.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.07 / $46.45 / $155.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.29 / $32.34 / $68.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.06 / $45.73 / $100.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.53 / $23.59 / $64.52
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $35.19 / $54.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.99 / $16.10 / $45.75