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Delaware 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
$29.98 / $29.98 / $29.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.47 / $17.47 / $21.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.95 / $16.95 / $16.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.64 / $21.05 / $52.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $22.00 / $57.35