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HIV Drug Resistance Sequencing

New Jersey 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 $955 · 10th–90th $741$5,2480%20%40%10th90th$955Professionalmedian $575 · 10th–90th $398$8130%20%40%10th90th$575$100.0$500.0$2.0K$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
$933.25
Median
$954.99
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$575.44
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,584.89
Typical High
$1,698.24
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$954.99
Typical High
$1,584.89
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$10,471.29
Typical High
$25,703.96
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$724.44
Typical High
$1,479.11
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$436.52
Typical High
$758.58