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HIV Drug Resistance Sequencing

Indiana 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 $1,096 · 10th–90th $724$2,3990%20%10th90th$1,096Professionalmedian $575 · 10th–90th $257$7080%20%40%10th90th$575$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$831.76
Median
$1,122.02
Typical High
$2,691.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$588.84
Typical High
$707.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$2,187.76
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$257.04
Typical High
$512.86
CareSource
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$10,471.29
Typical High
$15,848.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$1,380.38
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$891.25
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$436.52
Typical High
$794.33