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West Virginia 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
$21.38 / $32.59 / $39.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.55 / $21.38 / $22.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.68 / $39.11 / $45.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.28 / $31.28 / $35.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.19 / $64.58 / $78.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $48.80 / $336.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.73 / $15.99 / $51.38