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North Carolina 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
$18.25 / $20.86 / $68.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.34 / $20.86 / $167.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.16 / $54.38 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.13 / $20.29 / $42.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.80 / $36.13 / $68.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.14 / $23.55 / $50.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.86 / $30.00 / $57.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.33 / $23.33 / $34.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.38 / $15.64 / $33.32
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.36 / $324.13 / $324.13
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.43 / $810.43 / $810.43