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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
$26.30 / $45.71 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $23.99 / $67.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $43.65 / $89.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $36.31 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $45.71 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $23.44 / $64.57
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $35.48 / $54.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $18.20 / $44.67