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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
$26.30 / $26.30 / $26.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $23.99 / $42.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $53.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $39.81 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $17.78 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $15.49 / $36.31