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North Dakota 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
$18.20 / $23.99 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $22.91 / $30.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $50.12 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $38.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $19.95 / $46.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $38.02 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $28.84 / $44.67