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Minnesota 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
$24.51 / $24.51 / $24.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.25 / $24.51 / $31.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.55 / $39.82 / $99.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.86 / $26.07 / $26.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.97 / $95.55 / $229.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.45 / $38.29 / $51.02
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.22 / $87.36 / $181.00
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.15 / $30.15 / $47.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.07 / $48.23 / $81.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.91 / $23.46 / $68.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.30 / $21.46 / $55.52