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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
$18.25 / $18.25 / $46.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.25 / $24.51 / $24.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.25 / $52.53 / $58.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.15 / $30.15 / $44.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.64 / $19.80 / $46.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.64 / $37.79 / $810.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $26.59 / $44.70