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Wyoming 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
$26.07 / $26.07 / $26.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.07 / $26.07 / $48.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.70 / $44.70 / $53.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.59 / $40.00 / $83.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.34 / $52.34 / $52.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.86 / $42.61 / $62.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $15.64 / $19.29