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Mississippi 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
$26.07 / $47.71 / $52.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.60 / $47.71 / $52.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.52 / $44.52 / $44.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.52 / $44.52 / $44.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.95 / $28.89 / $53.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.93 / $32.13 / $61.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $18.46 / $54.43