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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
$19.95 / $25.70 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $21.88 / $34.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $57.54 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.95 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $41.69 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $22.91 / $51.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $181.97
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $31.62 / $66.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $33.88 / $45.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $15.49 / $36.31
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83