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HIV Drug Resistance Sequencing

Illinois rates for HCPCS 0219U

Guides HIV treatment by sequencing three genes of the virus itself — protease, reverse transcriptase and integrase — to work out which antiviral drugs it is likely to resist. It reads the virus's genetic material, not the patient's own DNA.

Rates data updated June 2026.

Facilitymedian $1,259 · 10th–90th $724$2,1880%10%20%10th90th$1,259Professionalmedian $589 · 10th–90th $479$9330%20%40%10th90th$589$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,258.93
Typical High
$2,187.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$588.84
Typical High
$870.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$977.24
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,584.89
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$891.25
Typical High
$1,047.13
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$977.24
Typical High
$1,348.96
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$39.81
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$436.52
Typical High
$724.44