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Oklahoma 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
$19.55 / $35.83 / $62.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.29 / $19.29 / $27.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.29 / $90.37 / $130.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.77 / $24.77 / $24.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.95 / $23.24 / $42.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.67 / $17.14 / $55.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.25 / $36.50 / $52.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $15.30 / $810.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $13.04 / $22.40