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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
$28.69 / $60.48 / $72.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.55 / $22.68 / $27.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.11 / $60.11 / $60.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.05 / $45.67 / $145.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.97 / $34.45 / $55.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $33.84 / $55.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $21.85 / $810.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $15.64 / $41.71