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Kansas 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
$26.92 / $56.23 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $21.88 / $42.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $45.71 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $31.62 / $54.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $33.88 / $61.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $21.88 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $26.30 / $38.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $15.49 / $53.70