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HIV Drug Resistance Sequencing

Massachusetts 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 $1,622 · 10th–90th $513$2,3440%10%20%10th90th$1,622Professionalmedian $724 · 10th–90th $479$8910%20%40%10th90th$724$100.0$500.0$2.0K$10.0K$50.0K

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
$512.86
Median
$1,621.81
Typical High
$2,238.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$562.34
Typical High
$707.95
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$3,630.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$562.34
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,047.13
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$4,897.79
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,230.27
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$1,174.90
Health New England
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$724.44
Typical High
$870.96
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$724.44
Typical High
$1,230.27