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Rhode Island 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
$42.68 / $78.12 / $78.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $24.84 / $27.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.71 / $32.07 / $35.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.62 / $19.55 / $49.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.21 / $62.21 / $109.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.79 / $38.31 / $86.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $22.00 / $51.58