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HIV Drug Resistance Sequencing

New York 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 $1,380 · 10th–90th $617$2,0420%10%10th90th$1,380Professionalmedian $479 · 10th–90th $257$8130%10%20%10th90th$479$200.0$1.0K$5.0K$20.0K

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
$588.84
Median
$1,380.38
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$562.34
Typical High
$724.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$707.95
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$3,467.37
Typical High
$3,467.37
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,202.26
Typical High
$2,754.23
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$891.25
Typical High
$1,412.54
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$691.83
Typical High
$1,288.25
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,380.38
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$724.44
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$436.52
Typical High
$977.24
Univera
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$724.44
Typical High
$831.76
Univera
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$724.44
Typical High
$1,737.80