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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
$23.99 / $23.99 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $23.99 / $35.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.30 / $77.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $26.30 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $100.00 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $38.02 / $53.70
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $89.13 / $190.55
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $50.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $47.86 / $81.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $20.89 / $162.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.30 / $31.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $23.44 / $56.23